Paediatric anaesthesia
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Paediatric anaesthesia · Apr 2005
Randomized Controlled Trial Comparative Study Clinical TrialPremedication in children: hypnosis versus midazolam.
The main objectives of premedication in children are to facilitate the separation from the parents, to reduce preoperative anxiety, to smooth the induction of anesthesia and to lower the risk of postoperative behavioral disorders. The most common technique is sedative premedication with midazolam. Hypnosis enables a state of relaxation to be achieved and has never been evaluated as a premedication technique. The aim of the present study was to evaluate the efficacy of hypnosis on anxiety and perioperative behavioral disorders versus midazolam. ⋯ Hypnosis seems effective as premedication in children scheduled for surgery. It alleviates preoperative anxiety, especially during induction of anesthesia and reduces behavioral disorders during the first postoperative week.
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Paediatric anaesthesia · Apr 2005
Randomized Controlled Trial Clinical TrialA prospective study comparing the analgesic efficacy of levobupivacaine, ropivacaine and bupivacaine in pediatric patients undergoing caudal blockade.
The aim of our study was to compare postoperative analgesic efficacy, analgesic duration and motor blockade of levobupivacaine, ropivacaine and bupivacaine administered caudally in equal concentrations to children undergoing elective minor surgery. ⋯ The degree of motor block was significantly less after ropivacaine and levobupivacaine during the first 2 h postoperatively.