Paediatric anaesthesia
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Paediatric anaesthesia · May 2009
Randomized Controlled TrialTwo different doses of caudal neostigmine co-administered with levobupivacaine produces analgesia in children.
This study was aimed to evaluate the analgesic efficacy duration of analgesia, and side effects of two different doses of caudal neostigmine used with levobupivacaine in children. ⋯ Caudal neostigmine in doses of 2 and 4 microg.kg(-1) with levobupivacaine extends the duration of analgesia without increasing the incidence of adverse effects, and 2 microg.kg(-1) seems to be the optimal dose, as higher dose has no further advantages.
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Paediatric anaesthesia · May 2009
Impact of laryngeal mask airway cuff pressures on the incidence of sore throat in children.
Hyperinflation of laryngeal mask airway cuffs can cause harm to the upper airway mainly by exerting high pressures on pharyngeal and laryngeal structures thus impairing mucosal perfusion. Although cuff manometers can be used to guide the monitoring of cuff pressures, their use is not routine in many institutions. In a prospective audit, we assessed the incidence of sore throat following day-case-surgery in relation to the intracuff pressure within the laryngeal mask airway. ⋯ We have demonstrated that intra cuff pressure in laryngeal mask airways is closely related to the development of sore throat with higher pressures increasing its likelihood. Hence, cuff pressures should be measured routinely using a manometer to minimize the incidence of sore throat.
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Paediatric anaesthesia · May 2009
Intraoperative opioid dosing in children with and without cerebral palsy.
To describe the differences in intraoperative opioid dosing and associated outcomes in children with and without cerebral palsy (CP). ⋯ Similar to prior research on children with cognitive impairment, a reduction in intraoperative opioid dosing was found in children with CP. Given the discrepant doses of intraoperative opioid between groups, it is unclear whether children with CP are at any greater risk for untoward opioid-related events.