Paediatric anaesthesia
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Paediatric anaesthesia · Mar 2009
Randomized Controlled TrialClowns for the prevention of preoperative anxiety in children: a randomized controlled trial.
To determine if specially trained professional clowns allayed preoperative anxiety and resulted in a smooth anesthetic induction compared to the use of midazolam or no intervention. ⋯ This study found that the use of preoperative medically trained clowns for children undergoing surgery can significantly alleviate preoperative anxiety. However, clowns do not have any effect once the anesthesia mask is introduced.
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Paediatric anaesthesia · Mar 2009
Randomized Controlled TrialHow many parents should we let into the operating room?
This study compared anxiety of children with one and two parents present at anesthesia induction. ⋯ We conclude that while allowing two parents into the operating rooms does not affect observed child anxiety, it does reduce parent self-reported anxiety. As the presence of multiple parents during invasive medical procedures is in congruence with family centered-care we recommend that institutions examine this modality.
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Paediatric anaesthesia · Mar 2009
Changes in delivered tidal volume with the addition of carbon dioxide to mechanical ventilation.
To determine discrepancies in delivered tidal volumes induced by the addition of carbon dioxide (CO2) during mechanical ventilation. ⋯ Either the M1 or the M3 set-up functioned efficiently without clinically significant alterations in ventilator performance. We prefer the M1 set-up as it is the one that is used most commonly in clinical practice and does not require significant alterations in the working configuration of the ventilator.
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Paediatric anaesthesia · Mar 2009
Incidence and risk factors for preincision hypotension in a noncardiac pediatric surgical population.
Routine monitoring of blood pressure is an essential part of perioperative care in adults and children. It is however not known whether intraoperative hypotension (IOH) is clinically important in the 'healthy' pediatric patient. This may be partly due to the lack of data on the incidence and consequences of IOH in this group of patients. We utilized the Brain Trauma Foundation definition of hypotension to describe the incidence of preincision hypotension (PIH) in a large pediatric noncardiac surgical population and identified risk factors for the occurrence PIH. ⋯ Preincision hypotension is common in the pediatric surgical population undergoing general anesthesia. Factors independently predictive of PIH included high ASA status, pre-existing hypotension, propofol co-induction prolonged preincision period and adolescent age group. The importance of blood pressure monitoring, prompt recognition of hypotension and use of appropriate intervention is emphasized.
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Paediatric anaesthesia · Mar 2009
Sedation medication received and adverse events related to sedation for brain MRI in children with and without developmental disabilities.
There are few studies on sedation medication requirements and sedation related adverse events in developmentally disabled children. ⋯ Children with developmental disabilities have similar requirements for sedation medications but are three times more likely to experience hypoxia when compared with normal children.