Paediatric anaesthesia
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Paediatric anaesthesia · Jan 2008
Comment Letter Comparative StudyIsoflurane vs sevoflurane in emergence delirium: a misleading conclusion.
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Paediatric anaesthesia · Jan 2008
Randomized Controlled TrialEffect of propofol on emergence behavior in children after sevoflurane general anesthesia.
Emergence agitation (EA) is a postoperative behavior that may occur in children undergoing general anesthesia with inhaled agents. ⋯ The addition of propofol 1 mg.kg(-1) can significantly decrease the incidence of EA after sevoflurane general anesthesia in children undergoing nonpainful procedures.
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Paediatric anaesthesia · Jan 2008
Sedation with ketamine and low-dose midazolam for short-term procedures requiring pharyngeal manipulation in young children.
Pediatric intestinal biopsy procedures including considerable transpharyngeal manipulation of a wire-guided metal capsule require adequate sedation or anesthesia. This retrospective cohort study was designed to evaluate intravenous sedation with ketamine and low-dose midazolam in young children undergoing these procedures before and also after discharge from the hospital. ⋯ Careful titration of ketamine and low-dose midazolam provides adequate sedation for nonsurgical pediatric short-term procedures also requiring considerable pharyngeal manipulation, particularly considering the low number of serious airway problems such as laryngospasm. The high incidence of late postoperative problems suggests that prospective studies should be designed for long-term follow-up of young children subjected to sedation or anesthesia.