Paediatric anaesthesia
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Paediatric anaesthesia · Mar 2004
Incidence and risk factors of perioperative respiratory adverse events in children undergoing elective surgery.
Adverse respiratory events remain one of the major causes of morbidity during anaesthesia, especially in children. The purpose of this prospective study was to determine the incidence of perioperative respiratory adverse events (PRAE) during elective paediatric surgery and to identify the risk factors for these events. ⋯ This study demonstrates a high incidence of PRAE in paediatric surgical patients without respiratory tract infections, which appears to be primarily determined by the age of the child and the anaesthetic care rather than by the child's medical history.
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Paediatric anaesthesia · Mar 2004
Case ReportsUse of remifentanil in an infant with surgically repaired Shone's syndrome.
We describe the use of remifentanil in an infant with a partially repaired Shone's syndrome who required tendon lengthening because of congenital clubfoot. Remifentanil has unique properties, making it a potentially useful and predictable agent for infants with significant comorbidity.
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Paediatric anaesthesia · Mar 2004
The correlation between bispectral index and airway reflexes with sevoflurane and halothane anaesthesia.
Unwanted airway reflexes such as laryngospasm are a frequent cause for concern in paediatric anaesthesia. They are more active during light anaesthesia. Bispectral index (BIS) is a recognized measure of anaesthetic effect. Ensuring adequate depth with the BIS may prevent these reflexes. This study investigates the relationship between BIS and a defined measure of airway reactivity. ⋯ The BIS may be useful to help prevent unwanted airway reflexes when using halothane but not with sevoflurane. The differing sites of anaesthetic action for sevoflurane and halothane may explain this result.
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Paediatric anaesthesia · Mar 2004
Letter Case ReportsAngelman syndrome as a rare anaesthetic problem.