Paediatric anaesthesia
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Paediatric anaesthesia · Aug 2005
Randomized Controlled Trial Comparative Study Clinical TrialRandomized trial comparing overnight preoperative fasting period Vs oral administration of apple juice at 06:00-06:30 am in pediatric orthopedic surgical patients.
We aimed to evaluate the efficacy of clear liquids orally administered at 06:00-06:30 am on the morning of surgery to reduce prolonged preoperative fasting periods. ⋯ A 15 ml.kg(-1) of apple juice for patients of <3 years of age or 10 ml.kg(-1) for older children, at 06:00-06:30 am of the surgical morning is a simple procedure to prevent dehydration and to produce positive behavior in low-risk, pediatric surgical patients.
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Paediatric anaesthesia · Aug 2005
An evaluation of pain and postoperative nausea and vomiting following the introduction of guidelines for tonsillectomy.
Tonsillectomy and adenotonsillectomy have a high incidence of postoperative pain, and postoperative nausea and vomiting (PONV). Pain is traditionally controlled with morphine but this increases the risk of PONV and may cause respiratory depression. Antiemetics reduce PONV but their routine use has been questioned on safety grounds. ⋯ Guidelines which use a combination of paracetamol, nonsteroidal anti-inflammatory drugs and fentanyl, provide excellent analgesia with minimal PONV after elective tonsillectomy and adenotonsillectomy. As a result the routine use of morphine and antiemetics can be avoided.
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Paediatric anaesthesia · Aug 2005
Review Case ReportsAcute psychosis after anesthesia: the case for antibiomania.
We report the case of a teenager who developed a postanesthesia acute psychosis (delusions, paranoia, and hallucinations) caused by a reaction to antibiotic therapy (amoxicillin and clarithromycin), so called 'Hoigne's syndrome' or 'antibiomania.' The differential diagnosis and a review of literature are presented. Our patient illustrates the importance of adding antibiomania as part of the differential diagnosis when altered postanesthesia behavior is observed in pediatric patients.
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Paediatric anaesthesia · Aug 2005
Randomized Controlled Trial Comparative Study Clinical TrialEvaluation of relatively low dose of oral transmucosal ketamine premedication in children: a comparison with oral midazolam.
Oral Transmucosal ketamine (lollipop) has been shown to be an effective, harmless preoperative medication for children. However, its efficacy was not compared with commonly used premedication drugs. We, therefore, compared the efficacy of oral transmucosal ketamine with oral midazolam for premedication in children. ⋯ These results indicate that a relatively low dose of oral transmucosal ketamine premedication provides no benefits over oral midazolam in children.