Paediatric anaesthesia
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Paediatric anaesthesia · Jul 2003
Case ReportsPosition dependent ventricular tachycardia in two children with peripherally inserted central catheters (PICCs).
We report two cases of ventricular tachycardia (VT) in children following the insertion of peripherally inserted central catheters (PICCs). These children had additional procedures requiring turning into the left lateral position after PICC insertion. In both cases sustained VT occurred after turning and flexion of the arm with the PICC. VT was terminated in both cases by withdrawing the catheter.
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Paediatric anaesthesia · Jul 2003
A survey of obstetric complications and pregnancy outcomes in paediatric and nonpaediatric anaesthesiologists.
Obstetric complications such as spontaneous abortion, preterm labour, preterm delivery, low birth weight and congenital anomalies may be associated with exposure to anaesthetic gases. We hypothesized that female anaesthesiologists practicing primarily paediatric anaesthesia, with increased exposure to trace anaesthetic agents, experience a greater prevalence of obstetric complications than female anaesthesiologists performing primarily adult anaesthesia. ⋯ Our results suggest a higher prevalence of spontaneous abortion in anaesthesiologists whose practice is >75% paediatrics.
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Paediatric anaesthesia · Jul 2003
Randomized Controlled Trial Clinical TrialDolasetron for the prevention of postoperative vomiting in children undergoing strabismus surgery.
Children undergoing strabismus surgery have a high incidence of postoperative vomiting (POV). The purpose of this study was to assess the efficacy and safety of dolasetron for the prevention of emesis comparing a single 0.35 mg.kg-1 or 12.5 mg dose with placebo. ⋯ There was no statistical difference between the 0.35 mg.kg-1 dose and the fixed 12.5 mg dose of dolasetron with both reducing the incidence of POV.
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Paediatric anaesthesia · Jul 2003
Randomized Controlled Trial Clinical TrialEffects of systemic and epidural morphine on antidiuretic hormone levels in children.
Although the use of opioids during general anaesthesia suppresses stress response to surgery and pain, the effects on antidiuretic hormone (ADH) are controversial. The aim of this study was to find the effects of morphine with either intravenous infusion or epidural route on ADH and other stress hormones. ⋯ Despite the effective pain therapy and suppression of cortisol and insulin response to surgical stimulus, the increase in ADH secretion is not effected by systemic or epidural morphine administration.