Paediatric anaesthesia
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Paediatric anaesthesia · Jul 2001
ReviewReview of ethics in paediatric anaesthesia: research issues.
This is the second of a series of three articles reviewing 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.
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Paediatric anaesthesia · Jul 2001
Case ReportsAnaesthetic considerations for a child with combined Prader-Willi syndrome and mitochondrial myopathy.
We report the anaesthetic management of a child with Prader-Willi syndrome and mitochondrial myopathy for open heart surgery. We used ketamine, fentanyl, rocuronium and caudal morphine together with a propofol infusion with no untoward effects. The implications of both conditions for anaesthesia are discussed.
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Paediatric anaesthesia · Jul 2001
Assessment of pain by parents in young children following surgery.
We asked parents to assess pain in young children following surgery. ⋯ Our findings suggest that parents can assess pain in young children following surgery. The management of pain following discharge from hospital can be improved.
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Paediatric anaesthesia · Jul 2001
Pain management in children with and without cognitive impairment following spine fusion surgery.
We compared pain assessment and management practices in children with and without cognitive impairment (CI) undergoing spine fusion surgery. ⋯ Our data demonstrate a discrepancy in pain management practices in children with and without CI following spine fusion.
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Paediatric anaesthesia · Jul 2001
Case ReportsComplicated airway management in a child with prune-belly syndrome.
We describe a 15-month-old boy with prune-belly syndrome (PBS) in whom airway management was complicated. Following an inhalation induction using sevoflurane, tracheal intubation by direct laryngoscopy proved impossible after repeated attempts. A laryngeal mask airway (LMAtrade mark) was inserted and the child had an uneventful anaesthetic course.