Paediatric anaesthesia
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Paediatric anaesthesia · Oct 2002
Incidence of postoperative nausea and vomiting in paediatric ambulatory surgery.
We performed a prospective descriptive study over a 5-month period to determine the incidence of postoperative nausea and vomiting (PONV) during the first 24 h following elective ambulatory paediatric surgery, excluding head and neck procedures. ⋯ PONV never induced complications or delayed patient discharge and curative treatment was rapidly effective.
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Paediatric anaesthesia · Oct 2002
Randomized Controlled Trial Comparative Study Clinical TrialPremedication with midazolam in young children: a comparison of four routes of administration.
We undertook a study to determine the effects of four routes of administation on the efficacy of midazolam for premedication. ⋯ Intranasal, oral, rectal and sublingual midazolam produces good levels of sedation and anxiolysis. Mask acceptance for inhalation induction was easy in the majority of children, irrespective of the route of drug administration.
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Paediatric anaesthesia · Oct 2002
Randomized Controlled Trial Clinical TrialUnconscious sedation in children: a prospective multi-arm clinical trial.
We report the evaluation of six sedative-hypnotic and analgesic combinations administered to children undergoing brief periods of unconscious (or deep) sedation for painful procedures. ⋯ The combination of methohexital and remifentanil appears to be a satisfactory method for unconcious sedation for short painful procedures in children.
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Paediatric anaesthesia · Oct 2002
Flush volumes delivered from pressurized bag pump flush systems in neonates and small children.
The aim of this study was to measure the volumes of fluid delivered with a fast flush bolus from a flow regulating device. ⋯ Fast bolus flushing from pressurized infusion bag systems, using the flow regulating device tested, can be applied during neonatal and paediatric anaesthesia without delivering uncontrolled amounts of fluid.
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Paediatric anaesthesia · Oct 2002
Case ReportsUse of ultrasound bladder monitoring in children after caudal anaesthesia.
Urinary retention occurring after caudal anaesthesia in children has a low incidence. Most children will void within 12 h of surgery, although the incidence of retention is higher after hypospadias repair. However, overdistention causing bladder atony that is temporary, or may become permanent, is described in adults. ⋯ It may replace catheterization as the prefered technique to measure urine volume. The correlation between measured bladder volumes and urine volume appears reasonable. A volume of approximately 10 mg.kg-1 may be considered as causing overdistension.