Paediatric anaesthesia
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Paediatric anaesthesia · Sep 2004
Case ReportsCombined general and epidural anesthesia for a child with alagille syndrome: a case report.
Alagille syndrome (syndromic paucity of interlobular bile ducts) is the most common form of familial intrahepatic cholestasis. We describe the perioperative management of a pediatric patient with Alagille syndrome undergoing ileal exclusion and the specific issues associated with epidural anesthesia with this syndrome.
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Paediatric anaesthesia · Sep 2004
Randomized Controlled Trial Clinical TrialIs tissue coring a real problem after caudal injection in children.
The aim of this study was to determine whether tissue coring occurs with 22-G hollow needle and 22-G caudal block needle during caudal injection in children, as well as evaluating the nature of the coring material if it did occur. ⋯ The incidence of transporting nucleated epidermal cells with no mitotic activity from stratum spinosum during puncture for caudal block is low and no differences exist between different types of needle used. However, it may also suggest that transporting nucleated cells with mitotic activity from the stratum basale may be possible during caudal puncture.
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Paediatric anaesthesia · Sep 2004
Randomized Controlled Trial Comparative Study Clinical TrialJet injector compared with oral midazolam for preoperative sedation in children.
This study compared onset of sedation and satisfaction with two needleless jet injectors with the oral route for the administration of midazolam. ⋯ Despite children being less satisfied with Bioject injection of midazolam, the procedure is safe, effective and provides a more rapid onset of preoperative sedation in children than either the J-Tip injection or oral route.