Paediatric anaesthesia
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Paediatric anaesthesia · May 2005
Clinical TrialCombined propofol and remifentanil intravenous anesthesia for pediatric patients undergoing magnetic resonance imaging.
A prospective observational case series of children receiving light general anesthesia for magnetic resonance imaging (MRI) was performed. Our purpose was to examine the merit of anesthesia and recovery/discharge times of combined remifentanil and propofol total intravenous anesthesia (TIVA) in spontaneously breathing children. ⋯ The combination of remifentanil and propofol for TIVA may be an effective method of light general anesthesia in pediatric patients undergoing MRI.
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Paediatric anaesthesia · May 2005
Clinical TrialThe correlation of the Narcotrend Index and classical electroencephalographic parameters with endtidal desflurane concentrations and hemodynamic parameters in different age groups.
The Narcotrend Index (NI) for assessment of depth of anesthesia by analysis of the electroencephalogram (EEG), is potentially a pharmacodynamic measure of the effects of desflurane on the brain. ⋯ The pharmacodynamic relationship between eT(Des) and NI is age dependent with a significantly higher EC(50) in children than in adolescents and adults. The NI appears to be superior to cEEG, MAP and HR in differentiating consciousness from unconsciousness.
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Paediatric anaesthesia · May 2005
Clinical TrialVentilation with the laryngeal tube in pediatric patients undergoing elective ambulatory surgery.
The laryngeal tube is a new supraglottic alternative for securing the airway. Few data on the use of this airway device in pediatric patients are so far available. Experiences of the study are reported. ⋯ In the age group studied, the laryngeal tube provides a rapid, patent airway in the majority of patients with a low complication rate.
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Paediatric anaesthesia · May 2005
Clinical assessment of the laryngeal tube in pediatric anesthesia.
The aim of this study was to evaluate a new device for airway management in children: the laryngeal tube (LT). ⋯ The LT is not recommended for children <10 kg. Over 10 kg, it provides a clear airway in most children, with a low rate of minimal additional maneuvers for sizes 2 and 3. The failure rate also decreases with the operator's training.
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Paediatric anaesthesia · May 2005
Case ReportsUltrasound assessment of caudal catheter position in infants.
The positioning of caudally inserted epidural catheters is crucial to their effectiveness. However, level assessment can be difficult and time consuming. We report the use of ultrasound to assess the catheter position in three patients aged between 1 and 10 months. The advantages and disadvantages of this technique are discussed in relation to other methods of assessing caudal catheter placement.