Paediatric anaesthesia
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Paediatric anaesthesia · Jan 2005
Clinical TrialCephalad origin of the superior vena cava and the level of the central venous catheter tip on chest radiographs.
There are suggested radiographic landmarks for the lower margin of the superior vena cava (SVC), but none for the cephalad origin of the SVC in children. Therefore, we determined the cephalad origin of the SVC in relation to the level of thoracic vertebrae in children. ⋯ We would like to suggest that the position of the tip of central venous line, when inserted via the right internal jugular vein, should optimally be at the level of Th4/5 interspace on the postoperative chest radiograph.
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Paediatric anaesthesia · Jan 2005
Randomized Controlled Trial Clinical TrialDose minimization study of single-dose epidural morphine in patients undergoing hip surgery under regional anesthesia with bupivacaine.
In order to decrease the rate of adverse effects, we aimed to identify the lowest analgesic dose of epidural morphine administered to patients undergoing hip surgery. ⋯ In patients undergoing hip surgery under regional anesthesia with bupivacaine, epidural morphine at a dose of 11.2 microg.kg(-1) administered immediately after completion of the procedure resulted in adequate pain relief for more than 12 h. Explanation of the high rate of patients vomiting (>45%) remains to be elucidated.
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Paediatric anaesthesia · Jan 2005
Randomized Controlled Trial Comparative Study Clinical TrialComparison of laser acupuncture and metoclopramide in PONV prevention in children.
Postoperative nausea and vomiting (PONV) are frequent side effects of general anesthesia in children. The aim of this study was to compare the effectiveness of laser acupuncture with metoclopramide in prevention of PONV in children after sevoflurane anesthesia. ⋯ Laser acupuncture is equally effective as metoclopramide in preventing PONV in children.