Paediatric anaesthesia
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Paediatric anaesthesia · Mar 2002
Randomized Controlled Trial Clinical TrialThe analgesic efficacy and neuroendocrine response in paediatric patients treated with two analgesic techniques: using morphine-epidural and patient-controlled analgesia.
Pain treatment is one of the main concerns of paediatric anaesthesiologists. The purpose of this study was to assess and compare the quality of analgesia and stress suppression by morphine when used [epidural (single shot) (EP) or with intravenous (i.v.) for patient-controlled analgesia (PCA) in children]. ⋯ Both techniques provided sufficient pain relief and attenuated the hormonal response without life-threatening complications.
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Paediatric anaesthesia · Mar 2002
A survey of parental satisfaction during parent present induction of anaesthesia for children undergoing cardiovascular surgery.
To assess parental reaction and possible complications of parent present induction (PPI) for children undergoing cardiovascular surgery, the parents of 183 patients were provided with a questionnaire to complete after they had participated in PPI. Questions included: prior experience with PPI, which member of the staff initiated the plan for PPI, parental role in the process, how prepared parents felt, and overall satisfaction. ⋯ This prospective survey demonstrated a high level of parental acceptance and satisfaction for PPI in children undergoing cardiovascular surgery, with a low incidence of untoward events, despite the underlying congenital heart disease. Further work is necessary to objectively characterize anxiety levels associated with induction of anaesthesia in this group of patients and parents.
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Paediatric anaesthesia · Mar 2002
Randomized Controlled Trial Clinical TrialPreoperative oral granisetron for the prevention of vomiting following paediatric surgery.
We evaluated the efficacy of granisetron, 5-hydroxytryptamine type 3 receptor antagonist, given orally, preoperatively, for the prevention of postoperative vomiting in children undergoing general anaesthesia for surgery (inguinal hernia, phimosis-circumcision). ⋯ In summary, preoperative oral granisetron 40 microg x kg(-1) is effective for the prevention of vomiting following paediatric surgery (inguinal hernia, phimosis-circumcision). Increasing the doses to 80 microg x kg(-1) provides no demonstrable additional benefit.
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Paediatric anaesthesia · Mar 2002
Randomized Controlled Trial Clinical TrialIlioinguinal and iliohypogastric nerve block revisited: single shot versus double shot technique for hernia repair in children.
We attempted to determine the efficacy of a one plane ilioinguinal and iliohypogastric nerve block with a single shot and double shot techniques. ⋯ The DS technique, while technically more difficult, does not improve the success rate of the IG-IH nerve block compared with the SS technique.