Paediatric anaesthesia
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Paediatric anaesthesia · Jul 2005
Randomized Controlled Trial Clinical TrialGiving parents written information about children's anesthesia: are setting and timing important?
Research indicates that parents wish to receive more information and are anxious about anesthesia prior to their child's surgery. ⋯ Parents have unmet information needs related to children's anesthetic care. Written information may improve parent knowledge and enhance satisfaction, but the setting and timing of information delivery are also important to consider.
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Paediatric anaesthesia · Jul 2005
Clinical TrialMarked variation in oxycodone pharmacokinetics in infants.
The pharmacokinetics of oxycodone (13-hydroxy-7,8-dihydrocodeinone) has been studied in adults and in children who are older than 6 months but there is no information on the disposition of oxycodone in neonates and young infants. The aim of this study was to study the pharmacokinetics of oxycodone in infants varying in age from 0 to 6 months. ⋯ The values for Cl and t(1/2) varied greatly between the subjects. This variability was most pronounced in the two youngest groups. Routine dosing of oxycodone in young infants may be dangerous. The dose of oxycodone must be titrated individually.
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Paediatric anaesthesia · Jul 2005
Case ReportsProlonged infusion of dexmedetomidine for sedation following tracheal resection.
Dexmedetomidine is a centrally acting alpha-2 adrenergic agonist that is currently approved by the US Food and Drug Administration for short-term use (< or = 24 h) to provide sedation in adults in the ICU. This drug has been shown to be efficacious in adult medical and surgical patients in providing sedation, anxiolysis, and analgesia. ⋯ To date, there are few publications of the use of this drug in children, and prolonged infusion has not been described. We report our use of dexmedetomidine in a child during a 4-day period of mechanical ventilation following tracheal reconstruction for subglottic stenosis.
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Paediatric anaesthesia · Jul 2005
A survey of the use of capnography for the confirmation of correct placement of tracheal tubes in pediatric intensive care units in the UK.
The Royal College of Anaesthetists and the Association of Anaesthetists of Great Britain and Ireland recommend the use of capnography to ensure correct tracheal tube placement in the theater environment. Correct tracheal tube placement is essential in the care of ventilated patient, even more vital if the patient is critically ill, if serious morbidity and mortality is to be avoided. This survey examined the availability and use of capnography to confirm correct tracheal tube placement in the pediatric intensive care unit (PICU) in the UK. ⋯ The use of capnography to confirm tracheal tube placement may be even more important in the PICU than in adult ICU.
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Paediatric anaesthesia · Jul 2005
Case ReportsUse of CobraPLA for airway management in a neonate with Desbuquois syndrome. Case report and anesthetic implications.
We present the anesthetic management of an infant with Desbuquois syndrome (a rare form of micromelic dwarfism) with a possible difficult airway. The anesthetic implications of this syndrome are presented. ⋯ It was easy to insert and provided satisfactory conditions for positive pressure ventilation. The CobraPLA provides another option for airway management.