Pediatr Crit Care Me
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Pediatr Crit Care Me · Jun 2013
Randomized Controlled TrialThe role of different anesthetic techniques in altering the stress response during cardiac surgery in children: a prospective, double-blinded, and randomized study.
Our goal was to evaluate the role of three anesthetic techniques in altering the stress response in children undergoing surgery for repair of congenital heart diseases utilizing cardiopulmonary bypass in the setting of fast tracking or early tracheal extubation. Furthermore, we wanted to evaluate the correlation between blunting the stress response and the perioperative clinical outcomes. ⋯ The use of low-dose fentanyl was associated with the greatest stress response, most coagulopathy, and highest transfusion requirement among our cohorts. Higher dose fentanyl demonstrated more favorable blunting of the stress response. When compared with low-dose fentanyl alone, the addition of dexmedetomidine improved the blunting of the stress response, while achieving better postoperative pain control.
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Pediatr Crit Care Me · Jun 2013
Randomized Controlled Trial Comparative StudyUltrasound-guided radial artery catheterization in infants and small children.
To determine whether ultrasound guidance increases the success rates, decreases the complication rates, and shortens the time to successful radial artery catheterization in infants and small children. ⋯ In infants and small children, ultrasound-guided radial artery catheterization was more successful and expeditious than the usual palpation technique.