Paediatric anaesthesia
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Paediatric anaesthesia · Mar 2006
Randomized Controlled Trial Comparative StudyPropofol anesthesia in spontaneously breathing children undergoing magnetic resonance imaging: comparison of two propofol emulsions.
This study evaluated a propofol-based anesthesia regimen with spontaneous breathing in pediatric patients scheduled for magnetic resonance imaging (MRI). ⋯ Propofol-based short-term anesthesia was well suited for anesthesia during MRI procedures in the studied pediatric patients. There were no clinically relevant differences between the two propofol formulations.
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Paediatric anaesthesia · Mar 2006
ProSeal laryngeal mask airway in 120 pediatric surgical patients: a prospective evaluation of characteristics and performance.
The ProSeal LMA (PLMA) has recently been introduced in pediatric sizes (1.5, 2, 2.5, 3). Limited pediatric data have been published. ⋯ Although the PLMA can be used with SV or PPV, the higher leak pressure achieved with the PLMA, and the ability to evacuate fluid and air from the stomach suggest that it may be a useful alternative to tracheal intubation for procedures in which PPV is desired in children aged 4 months to 13 years.
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Paediatric anaesthesia · Mar 2006
Randomized Controlled Trial Comparative StudyRandomized controlled trial comparing the laryngeal tube and the laryngeal mask in pediatric patients.
The laryngeal tube (LT) is a supraglottic ventilatory device used in adults. However, there is limited information about LT use in pediatric patients. This randomized controlled study compares LT with laryngeal mask (LMA) for airway management during spontaneous or assisted ventilation and during fiberoptic laryngoscopy in children. ⋯ The LT is less effective than the LMA to allow adequate spontaneous or assisted ventilation and for fiberoptic evaluation of the airway in children under 10 years old.
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Paediatric anaesthesia · Mar 2006
Randomized Controlled Trial Comparative StudyThe efficacy of morphine and Entonox analgesia during chest drain removal in children.
Morphine is commonly used for chest drain removal pain, although a few studies in adults suggest that inhalation agents may be effective for this procedure. Little is known about chest drain removal pain and its management in children. ⋯ Morphine or Entonox alone are unlikely to provide adequate analgesia for chest drain removal pain in children. More research is needed to determine the most effective interventions for this procedure.
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Paediatric anaesthesia · Mar 2006
Randomized Controlled TrialThe efficacy of caudal morphine or bupivacaine combined with general anesthesia on postoperative pain and neuroendocrine stress response in children.
The aim of this study was to compare the effectiveness of caudal morphine and bupivacaine usage on surgical stress response in children undergoing abdominal and genitourinary surgery while keeping anesthesia depth constant utilizing the bispectral index analysis (BIS). ⋯ We conclude that, caudal administration of bupivacaine is more effective than morphine for attenuating intraoperative and postoperative stress response to surgery in children.