Paediatric anaesthesia
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Paediatric anaesthesia · May 2006
Randomized Controlled TrialKetoprofen and tramadol for analgesia during early recovery after tonsillectomy in children.
Pain following tonsillectomy is often intense. Nonsteroidal anti-inflammatory drugs and opioids are effective, but both can cause adverse effects. Tramadol may be a viable alternative for post-tonsillectomy pain. This study was designed to compare the analgesic effects of ketoprofen and tramadol during the early recovery period after tonsillectomy. ⋯ A dose of 4 mg.kg(-1) of i.v. ketoprofen provided good pain relief with moderate supplemental PCA-fentanyl requirements during the first six postoperative hours after tonsillectomy in children whereas the effects of 2 mg.kg(-1) of i.v. tramadol did not differ from those of placebo.
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Paediatric anaesthesia · May 2006
Case ReportsTransient loss of motor-evoked responses associated with caudal injection of morphine in a patient with spondylolisthesis undergoing spinal fusion.
A 7-year-old girl having posterior spinal fusion for Grade 3 anterior spondylolisthesis at the L5/S1 level was administered 2.5 mg of morphine in 10 ml saline via the caudal epidural route before surgery. Motor-evoked responses were markedly diminished in her lower limbs for 1 h following this but returned spontaneously. She suffered no neurological injury. ⋯ This complication of caudal injection has not been reported before. The possible mechanisms for this are discussed. We believe that significant L5/S1 spondylolisthesis should be considered a contraindication to the use of caudal epidural injections.
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Paediatric anaesthesia · May 2006
Case ReportsComplete upper airway obstruction after induction of anesthesia in a child with undiagnosed lingual tonsil hypertrophy.
We present a case of a 9-year-old patient with previously undiagnosed lingual tonsil hypertrophy (LTH) that caused sudden and complete airway obstruction and inability to ventilate on induction of anesthesia. More frequently described in adults than in children, LTH can complicate mask ventilation, intubation or both, with the potential for catastrophic consequences.
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Paediatric anaesthesia · May 2006
Letter Randomized Controlled Trial Comparative StudyThe rotational technique with ProSeal laryngeal mask airway does not improve the ease of insertion in children.