Paediatric anaesthesia
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Paediatric anaesthesia · Nov 2008
Evaluation of the pediatric Bonfils fiberscope for elective endotracheal intubation.
Difficult airway management in children is a particular challenge for anesthesiologists and pediatricians. This study was designed to evaluate the performance of the recently developed pediatric versions of the Bonfils fiberscope for elective endotracheal intubation during routine surgical procedures. ⋯ High failure rate and increased intubation times suggest that the pediatric Bonfils fiberscope has significant drawbacks when used for intubation of normal pediatric airways.
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Paediatric anaesthesia · Nov 2008
Anesthetic management of gastrochisis--a review of our practice over the past 5 years.
Surgical closure of gastrochisis has traditionally been performed under general anesthesia followed by admission to intensive care and postoperative ventilation. We reviewed the management of these neonates in our hospital over the past 5 years to identify changes in practice and possible factors which affect the perioperative course. ⋯ Conclusions are difficult when analyzing retrospective data in patients with a variety of factors. The results suggest that anesthesia which includes a regional technique is a valid method in these cases. Traditional opioid analgesia when compared to regional techniques may be associated with increased need for postoperative ventilation.
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Paediatric anaesthesia · Nov 2008
THIS ARTICLE HAS BEEN RETRACTED Anatomic relationship between the internal jugular vein and the carotid artery in pre-school children--an ultrasonographic study.
Central venous cannulation (CVC) in young children is technically difficult and may lead to potentially serious complications especially when performed blindly or using anatomical landmarks only. The aim of this study was to determine the anatomical relationship of the internal jugular vein (IJV) and the common carotid artery (CA) in preschool children using ultrasound. ⋯ This study demonstrates that the IJV cover the CA in the majority of young children. Depth of the IJV is rarely more than 1 cm deep to the skin. Ultrasound location of the IJV and CA is easy and does not necessarily delay the procedure. The findings of this study support the use of ultrasound guidance for CVC in children.
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Paediatric anaesthesia · Nov 2008
Letter Case ReportsA novel cause of penetrating paediatric oral trauma.