Paediatric anaesthesia
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The aim of the study was the evaluation of the effect of methohexital during chest tube removal (CTR) in neonates. ⋯ Administration of methohexital for CTR resulted in adequate sedation and relaxation without major side effects in neonates. This approach should be compared with other strategies.
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LEOPARD syndrome is a neuroectodermal disorder presumed to result from an abnormality in neural crest cells. The acronym 'LEOPARD' is derived from the clinical features which include multiple lentigines, electrocardiographic abnormalities, ocular hypertelorism, pulmonary stenosis, abnormal genitalia, retarded growth, and deafness. ⋯ The authors present a 4-year old boy who presented for anaesthetic care for repair of a ventricular septal defect and pulmonary valvotomy for congenital pulmonary stenosis. The potential perioperative implications of LEOPARD syndrome are discussed.
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Paediatric anaesthesia · Apr 2004
Randomized Controlled Trial Comparative Study Clinical TrialIntraoperative ketorolac is an effective substitute for fentanyl in children undergoing outpatient adenotonsillectomy.
In this prospective randomized double-blind study, we compared the incidence of emesis and 48-h recovery profiles after a single dose of ketorolac vs fentanyl in dexamethasone-pretreated children undergoing ambulatory adenoidectomy and laser-assisted tonsillectomy (ADLAT). We evaluated the hypothesis that avoiding the use of opioids and replacing them with an equianalgesic dose of ketorolac, a nonsteroidal anti-inflammatory drug, would reduce the incidence of postoperative nausea and vomiting (PONV). ⋯ Ketorolac showed no advantage over fentanyl in reducing the incidence of PONV in children undergoing ADLAT.