Paediatric anaesthesia
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Paediatric anaesthesia · Jan 1997
Case ReportsUnexpected interaction of methylphenidate (Ritalin) with anaesthetic agents.
We report difficulty with conscious sedation of a child taking methylphenidate for attention deficit disorder and possible delayed adverse interaction of ketamine and methylphenidate resulting in severe nausea, vomiting and dehydration. The effects of methylphenidate and its potential interactions with anaesthetic agents is discussed. We suggest that anaesthesiologists who provide sedation or anaesthesia to patients receiving methylphenidate be aware of the potential need for high sedative doses and the possibility of undesirable interactions.
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Paediatric anaesthesia · Jan 1997
Letter Case ReportsClonic convulsions in a neonate after propofol anaesthesia.
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Paediatric anaesthesia · Jan 1997
Case ReportsConservative management of tracheal rupture after intubation.
A case is reported of a newborn with tracheal rupture resulting from a complicated delivery requiring vacuum extraction and two attempts at intubation. Despite the severity of the situation the infant was successfully managed conservatively with orotracheal intubation.
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Paediatric anaesthesia · Jan 1997
An audit of paediatric day care surgery in a district general hospital.
At a 620 bed District General Hospital, questionnaires were issued to the patients of 142 consecutive paediatric day surgery cases and the nurses involved in the care of these children. Most of the children were not upset by day case surgery, although nearly a quarter were distressed by changing into a theatre gown. Postoperatively, pain was more of a problem than nausea and vomiting. ⋯ The majority of the 93 parents who replied were happy with the overall care of their child. They valued being present for induction of anaesthesia and would have liked to be present in recovery when their child was awake, although the nurses felt this would not have been helpful. Nonclinical matters also influenced their assessment of the quality of care.