Paediatric anaesthesia
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Paediatric anaesthesia · Jun 2002
Emergence behaviour in children: defining the incidence of excitement and agitation following anaesthesia.
Children display a variety of behaviour during anaesthetic recovery. The purpose of this study was to study the frequency and duration of emergence behaviour in children following anaesthesia and the factors that alter the incidence of various emergence behaviour following anaesthesia. ⋯ Repeated assessments of behaviour following anaesthetic recovery are required to define an incidence and duration of emergence agitation. Emergence agitation occurs most frequently in the initial 10 min of recovery, but many children who arrive asleep experience agitation later during recovery.
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Paediatric anaesthesia · Jun 2002
Thoracic epidural catheters placed by the caudal route in infants: the importance of radiographic confirmation.
Cephalad advancement of epidural catheters to the thoracic region via the caudal route has been shown to be feasible in neonates and small infants. This has allowed many young infants to receive thoracic level epidural analgesia with dilute local anaesthetic solutions using the simpler caudal approach. Since radiographic confirmation of the catheter tip is routine at this institution, we wished to determine how often radiographic studies led to adjustment or replacement of the epidural catheter. ⋯ Even in young infants, radiographic determination of the catheter tip appears warranted when thoracic catheters are placed via the caudal route.
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Paediatric anaesthesia · Jun 2002
Comparative StudyAirway management in spontaneously breathing anaesthetized children: comparison of the Laryngeal Mask Airway with the cuffed oropharyngeal airway.
The efficacy and safety of the smallest size of the cuffed oropharyngeal airway (COPA) for school age, spontaneously breathing children was investigated and compared with the Laryngeal Mask Airway (LMA). ⋯ The COPA is a good extratracheal airway that provides new possibilities for airway management in school age children with an adequate and well sealed airway, during spontaneous breathing or during short-term assisted manual ventilation.
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Paediatric anaesthesia · Jun 2002
The size 1.5 laryngeal mask airway (LMA) in paediatric anaesthetic practice.
The recently introduced size 1.5 laryngeal mask airway (LMA) is specifically designed for use in children weighing 5-10 kg. ⋯ The size 1.5 LMA is a useful addition to the range available, although the overall complication rate is considerable and is inversely related to the age of the child.