Paediatric anaesthesia
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Paediatric anaesthesia · Jan 2002
Randomized Controlled Trial Clinical TrialMotion sickness and postoperative vomiting in children.
Motion sickness is considered an important risk factor for postoperative nausea and vomiting in children. The aim of this study was to verify the impact of motion sickness on the incidence of vomiting after routine surgery in children, and to compare the incidence of vomiting, after combined regional/general anaesthesia, using either halothane or sevoflurane. ⋯ In the postoperative period, we found that MS+ children vomit more than MS- children, regardless of the inhalation anaesthetic used. However, MS- children displayed a higher incidence of vomiting when halothane was used rather than sevoflurane.
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Paediatric anaesthesia · Jan 2002
Randomized Controlled Trial Multicenter Study Clinical TrialThe efficacy of caudal ropivacaine 1, 2 and 3 mg x l(-1) for postoperative analgesia in children.
The aim of this double blind, randomized, comparative study was to assess the analgesic efficacy and incidence of motor block after caudal block using three different concentrations of ropivacaine, 1, 2 and 3 mg x l(-1), in children 4-12-year-old. ⋯ It was concluded that 1 ml x kg(-1) of ropivacaine 2 mg x ml(-1) for caudal block provided satisfactory postoperative pain relief after inguinal surgery in 4-12-year-old children. Ropivacaine 1 mg x ml(-1) showed less efficacy while the use of ropivacaine 3 mg x ml(-1) was associated with a higher incidence of motor block with minimal improvement in postoperative pain relief.
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Paediatric anaesthesia · Jan 2002
Randomized Controlled Trial Clinical TrialOral midazolam with an antacid may increase the speed of onset of sedation in children prior to general anaesthesia.
The aim of the study was to see whether sodium citrate solution would speed the gastric absorption of oral midazolam. ⋯ The time to onset of sedation can potentially be shortened, by using a preparation of intravenous midazolam and antacid, given orally.
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Paediatric anaesthesia · Jan 2002
Multicenter StudyA survey of practice of tracheal intubation without muscle relaxant in paediatric patients.
Because of the renewed interest in intubation in children without relaxants, over a period of 1 month, the anaesthesiologists of five paediatric universitary teaching hospitals were asked to complete a questionnaire each time they performed a tracheal intubation without muscle relaxant. ⋯ Sevoflurane is the most commonly used agent for tracheal intubation without relaxants with higher doses being required in infants aged less than 6 months. Propofol, even with opioids, was not so successful.