Paediatric anaesthesia
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Paediatric anaesthesia · Dec 2009
Randomized Controlled TrialAnesthetic-specific electroencephalographic patterns during emergence from sevoflurane and isoflurane in infants and children.
Devices that monitor the depth of anesthesia are increasingly used to titrate sedation and avoid awareness during anesthesia. Many of these monitors are based upon electroencephalography (EEG) collected from large adult reference populations and not pediatric populations (Anesthesiology, 86, 1997, 836; Journal of Anaesthesia, 92, 2004, 393; Anesthesiology, 99, 2003, 34). We hypothesized that EEG patterns in children would be different from those previously reported in adults and that they would show anesthetic-specific characteristics. ⋯ The principal finding of the present study was that there are anesthetic-specific and concentration-dependent EEG effects in children. Depth-of-anesthesia monitors that utilize algorithms based on the EEGs of adult reference populations therefore may not be appropriate for use in children.
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Paediatric anaesthesia · Dec 2009
Long-term posttraumatic effects of intraoperative awareness in children.
The consequences of intraoperative awareness in children have received little empirical attention to date. Previous studies suggest that children are less likely to be distressed than adults in the short term, but long-term consequences have only been studied retrospectively. ⋯ Although no children had clinically significant symptoms, the small numbers and failure to follow-up all children limit any conclusions with respect to true incidence of posttraumatic stress disorder in children who have had an awareness event.
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Paediatric anaesthesia · Dec 2009
School-aged children's experiences of postoperative music medicine on pain, distress, and anxiety.
To test whether postoperative music listening reduces morphine consumption and influence pain, distress, and anxiety after day surgery and to describe the experience of postoperative music listening in school-aged children who had undergone day surgery. ⋯ Music medicine reduced the requirement of morphine and decreased the distress after minor surgery but did not else influence the postoperative care.
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Paediatric anaesthesia · Dec 2009
Comment Letter Comparative StudyComparison of the intubation with the Storz video laryngoscope and standard direct laryngoscopy in pediatric patients.