Paediatric anaesthesia
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Paediatric anaesthesia · Jan 2001
Randomized Controlled Trial Clinical TrialSublingual morphine may be a suitable alternative for pain control in children in the postoperative period.
The purpose of this pilot study was to compare the effects of sublingual morphine with intravenous morphine in the treatment of postoperative pain following adenotonsillectomy in children. Twenty-nine children scheduled for adenotonsillectomy were randomly assigned to group 1 (n=14) receiving 0.1 mg x kg(-1) sublingual morphine and group 2 (n=15) 0.1 mg x kg(-1) intravenous morphine followed by 1 mg x kg(-1) diclofenac rectally in both groups after induction of anaesthesia. ⋯ There was no statistical significant difference in any of these parameters between the two groups. The results suggest that sublingual morphine may be a suitable alternative to various other routes of opioid administration in children, but further investigations of the sublingual route of administration of opioids in children are required.
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Paediatric anaesthesia · Jan 2001
Comparative StudyIs the sitting or the prone position best for surgery for posterior fossa tumours in children?
The aim of this study was to compare complications in children operated for posterior fossa tumours in the sitting position with those in the prone position. ⋯ PFT surgery in the sitting position in children is not associated with an increased number or severity of perioperative complications, while the postoperative course appears better in this position.
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Paediatric anaesthesia · Jan 2001
Impact of an antiemetic protocol on postoperative nausea and vomiting in children.
The objective of the study was to demonstrate a decreased incidence of postoperative nausea and vomiting (PONV) in children through the use of an antiemetic protocol. PONV was recorded in children (1.5-15 years) after inpatient surgery under general anaesthesia in a prospective, interview based survey. Group 1 consisted of children having surgery 1 month before the introduction of a formalized antiemetic protocol and group 2, 2 months after its introduction. ⋯ Patient satisfaction was high in both groups (85% versus 90%). The introduction of a postoperative antiemetic protocol improved prescribing frequency. This resulted in a decreased incidence of moderate to severe PON and a reduction in the number of patients with repeated nausea.
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Paediatric anaesthesia · Jan 2001
ReviewReview of ethics in paediatric anaesthesia: intensive care issues.
This is the third of a series of three articles examining the recent changes in the law in relation to ethics and the practice of paediatric anaesthesia. The review covers, in a practical question and answer format, the topics of consent, research, intensive care issues and organ donation in children.