Paediatric anaesthesia
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Paediatric anaesthesia · Dec 2010
Randomized Controlled TrialPressure vs. volume control ventilation: effects on gastric insufflation with size-1 LMA.
In this randomized prospective study, peak airway pressure (PAP) and gastric insufflation were compared between volume control ventilation (VCV) and pressure control ventilation (PCV) using size-1 laryngeal mask airway (LMA) in babies weighing 2.5-5 kg. ⋯ In conclusion, PCV should be the preferred mode to provide positive pressure ventilatio (PPV), when using the size-1 cLMA in babies weighing 2.5-5 kg, in view of less gastric insufflation associated with it for surgeries of brief duration. More studies are required to validate the clinical significance of these two modes of ventilation in longer procedures, in this subpopulation.
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Paediatric anaesthesia · Dec 2010
Use of epidural and peripheral nerve blocks at the end of life in children and young adults with cancer: the collaboration between a pain service and a palliative care service.
Clinicians may avoid continuous pain blocks in pediatric cancer patients at the end of life for fear of complications or of interfering with the desired location of death. ⋯ Our findings suggest that continuous catheter-delivered pain blockade at the end of life contributes to analgesia, moderates opioid requirements, and usually does not preclude death at the preferred location.
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Paediatric anaesthesia · Dec 2010
Airway management in pediatric patients undergoing suspension laryngoscopic surgery for severe laryngeal obstruction caused by papillomatosis.
To review perioperative airway management and ventilation strategy during the surgical removal of papilloma under suspension laryngoscopy in pediatric patients with severe airway obstruction. ⋯ Key points of perioperative airway management in pediatric patients with papillomatosis-induced severe laryngeal obstruction include careful preoperative airway evaluation; the proper choice of induction methods, and ET tube size; maintenance of an adequate depth of anesthesia; and flexible ventilation strategy, continuous and close monitoring during the extubation and postextubation period; and prompt management of adverse events.
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To ascertain whether there is medical and religious agreement that neonates being circumcised should have anesthesia. ⋯ (i) That anesthesia should be provided for neonatal circumcision. (ii) That there will be difficulties in providing a professional service. (iii) That EMLA cream is the most practical, even if only partly effective. (iv) A website demonstrating application to parents would encourage usage.
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Paediatric anaesthesia · Dec 2010
Comment Letter Case ReportsResponse to Anesthetic management of a rare case of Shprintzen-Goldberg craniosynostosis syndrome.