Paediatric anaesthesia
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Paediatric anaesthesia · Aug 2004
Randomized Controlled Trial Comparative Study Clinical TrialLow doses of rocuronium during remifentanil-propofol-based anesthesia in children: comparison of intubating conditions.
In this prospective double-blind study, intubation conditions were compared at 90 s following two different low doses of rocuronium during remifentanil and propofol anesthesia in children undergoing ambulatory procedures. ⋯ The results suggest that 0.3 mg x kg(-1) of rocuronium may be a better low dose than 0.15 mg x kg(-1) of rocuronium for clinically acceptable intubating conditions in pediatric ambulatory surgery during remifentanil-propofol-based anesthesia at the doses used in the study.
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Paediatric anaesthesia · Aug 2004
Randomized Controlled Trial Comparative Study Clinical TrialEvaluation of adding preoperative or postoperative rectal paracetamol to caudal bupivacaine for postoperative analgesia in children.
Our aim was to investigate whether effects of caudal analgesia could be extended by preoperative or postoperative rectal paracetamol administration in children undergoing surgical repair of hypospadias. ⋯ Addition of preoperative or postoperative rectal paracetamol in the doses used did not show an effect on the duration and intensity of postoperative analgesia obtained by caudal bupivacaine.
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Paediatric anaesthesia · Aug 2004
Randomized Controlled Trial Clinical TrialMinimum effective dose of dexamethasone after tonsillectomy.
The minimum effective dose of dexamethasone in conjunction with 50 microg x kg(-1) ondansetron was evaluated in the treatment for vomiting after elective tonsillectomy or adenotonsillectomy. ⋯ These results indicate that surgical technique and anaesthetic management used in this study could be the cause of the lower incidence of nausea and vomiting. Assessment of nausea and vomiting in a prospective study with larger groups of patients may reflect different results.
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Paediatric anaesthesia · Aug 2004
Comparative Study Clinical TrialThe use of recalcified citrated whole blood -- a pragmatic approach for thromboelastography in children.
Thromboelastography (TEG) is an established way of monitoring the coagulation status of children and adults requiring blood products during surgery. Serial measurements are performed using a nearside machine and blood product prescription may be titrated against changes in TEG. There may also be useful applications when the patient is remote from the TEG machine but these are limited because TEG is usually performed on fresh native whole blood within 6 min of venepuncture. Citrated whole blood can be used for TEG if transport time is more than 6 min. We wished to establish whether TEG parameters for citrated whole blood were comparable with those of native whole blood in healthy children. ⋯ The normal range for fresh native whole blood TEG parameters is well established, which is routinely used in practice. There was a significant difference between TEG parameters for fresh native whole blood and citrated whole blood. We recommend that a specific normal range be established for citrated whole blood to enable it to be used in clinical practice.
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Paediatric anaesthesia · Aug 2004
Comparative StudyCuff compliance of pediatric and adult cuffed tracheal tubes: an experimental study.
Tracheal mucosal damage related to tracheal intubation has been widely described in pediatric and adult patients. High volume-low pressure cuffs (HVLPC) are being advertised as safe to avoid this particularly unpleasant complication. Compliances of these supposed pediatric and adult HVLPC are not mentioned by manufacturers and still remain unknown. ⋯ We conclude that the tested tracheal tube cuffs have low compliance and cannot be defined as high volume-low pressure.