Paediatric anaesthesia
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Paediatric anaesthesia · Jul 2008
Single injection paravertebral block for renal surgery in children.
Continuous paravertebral block (PVB) has been successfully used for postoperative analgesia in children. However, data regarding the efficacy of a single injection technique for major renal surgery are still lacking. ⋯ Single injection PVB provided clinically relevant postoperative analgesia in children undergoing major renal surgery.
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Paediatric anaesthesia · Jul 2008
Letter Case ReportsAnesthesia for orthopedic surgery in Pallister-Killian syndrome.
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Paediatric anaesthesia · Jul 2008
Randomized Controlled TrialEfficacy of ketamine and midazolam as co-induction agents with propofol for laryngeal mask insertion in children.
Use of midazolam and ketamine lowers the induction dose of propofol (co-induction) producing hemodynamic stability. ⋯ In children, the combination of propofol with ketamine or midazolam produces stable hemodynamics and improved LM insertion conditions but is associated with delayed recovery.
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Paediatric anaesthesia · Jul 2008
Feasibility of ultrasound-guided peripheral nerve block catheters for pain control on pediatric medical missions in developing countries.
Continuous peripheral nerve blocks (CPNB) are effective for postoperative pain management in children in the hospital and at home. CPNB techniques are particularly advantageous when compared with systemic or oral opioids on medical missions to unfamiliar environments with minimal monitoring capacity. In addition, ultrasound-guidance facilitates the placement of perineural catheters in anesthetized children even in the absence of commercially packaged regional anesthesia equipment. We present a series of successful cases employing ultrasound-guided CPNB for postoperative analgesia on medical missions and discuss the impact of this technology on present and future patients in underserved countries.