Paediatric anaesthesia
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Paediatric anaesthesia · Aug 2009
Humidification during high-frequency oscillation ventilation is affected by ventilator circuit and ventilatory setting.
High-frequency oscillation ventilation (HFOV) is an accepted ventilatory mode for acute respiratory failure in neonates. As conventional mechanical ventilation, inspiratory gas humidification is essential. However, humidification during HFOV has not been clarified. In this bench study, we evaluated humidification during HFOV in the open circumstance of ICU. Our hypothesis is that humidification during HFOV is affected by circuit design and ventilatory settings. ⋯ Humidification during HFOV is affected by circuit design and ventilatory settings.
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Paediatric anaesthesia · Aug 2009
Randomized Controlled TrialReducing distress for children during invasive procedures: randomized clinical trial of effectiveness of the PediSedate.
Procedural pain control remains problematic for young children, especially during anxiety-causing procedures for which children should not be deeply sedated. The PediSedate was designed to address this problem by delivering nitrous oxide in oxygen through a simple nosepiece, combined with an interactive video component, so that children can use attention and distraction with drug delivery. ⋯ Previous studies have demonstrated the effectiveness of nitrous oxide sedation alone for minimizing pain and distress during invasive procedures. We have found that delivering nitrous oxide sedation via a system combined with an interactive video component is also effective. Further studies should determine which factors are dominant and determine the specific failure rate for this delivery system in comparison with other systems.
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Paediatric anaesthesia · Aug 2009
Experience of intravenous sedation for pediatric gastrointestinal endoscopy in a large tertiary referral center in a developing country.
The aim of this study was to evaluate the clinical efficacy of intravenous sedation for pediatric gastrointestinal endoscopy (GIE) at a tertiary care teaching hospital in a developing country. ⋯ In the setting of the developing country, intravenous sedation for pediatric GIE by trained anesthetic personnel with appropriate monitoring was safe and effective. Serious adverse events were rare in our population.