Paediatric anaesthesia
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Paediatric anaesthesia · Oct 2002
Randomized Controlled Trial Comparative Study Clinical TrialPremedication with midazolam in young children: a comparison of four routes of administration.
We undertook a study to determine the effects of four routes of administation on the efficacy of midazolam for premedication. ⋯ Intranasal, oral, rectal and sublingual midazolam produces good levels of sedation and anxiolysis. Mask acceptance for inhalation induction was easy in the majority of children, irrespective of the route of drug administration.
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Paediatric anaesthesia · Oct 2002
Randomized Controlled Trial Clinical TrialPreemptive diclofenac reduces morphine use after remifentanil-based anaesthesia for tonsillectomy.
We investigated the effect of preincisional rectal diclofenac on pain scores and postoperative morphine requirements of children undergoing tonsillectomy after remifentanil-propofol anaesthesia in a randomized clinical trial. ⋯ Preemptive diclofenac given rectally reduced pain intensity and morphine requirements of children anaesthetized with remifentanil for tonsillectomy.
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Paediatric anaesthesia · Oct 2002
Case ReportsAcute rhabdomyolysis after cardiac transplantation: a diagnostic conundrum.
A 13-year-old girl presented with right ventricular failure secondary to Ebstein's malformation (downward displacement of the tricuspid valve leaflets with adherence to the right ventricular muscle and redundancy or dysplasia of the tricuspid valve leaflets). She subsequently required a heart transplant but developed rhabdomyolysis early in the postoperative period and required ventilatory support for more than 3 weeks. ⋯ We believe it is likely that the rhabdomyolysis has been caused by cyclosporin. If so, this has occurred both earlier in the clinical course and at lower serum concentrations than previously described.
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Paediatric anaesthesia · Oct 2002
Perioperative management of tetralogy of Fallot with absent pulmonary valve.
Tetralogy of Fallot with absent pulmonary valve is a rare form of congenital heart disease. The records of patients with this lesion were reviewed over a 6(1/2) year period, and the perioperative management of 13 patients is described. ⋯ There were significant differences in postoperative outcome between younger versus older patients: days of ventilation 37 +/- 41 versus 1 +/- 0.6 days, length of ICU stay 28 +/- 31 versus 3 +/- 1 days and length of hospital stay 64 +/- 48 versus 9 +/- 5 days.
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Paediatric anaesthesia · Oct 2002
Comment Letter Case ReportsThe use of lubricants to achieve tracheal intubation in neonates and infants.