Paediatric anaesthesia
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Paediatric anaesthesia · Apr 2010
Randomized Controlled TrialThe effects of caudal or intravenous clonidine on postoperative analgesia produced by caudal levobupivacaine in children.
Clonidine is used increasingly in pediatric anesthesia practice to prolong the duration of action of caudal block with a local anesthetic agent. Which route of administration of clonidine is the most beneficial remains unknown. We compared the effects of caudal and intravenous clonidine on postoperative analgesia produced by caudal levobupivacaine. ⋯ Caudal clonidine prolongs the duration of analgesia produced by caudal levobupivacaine without causing significant side effects and this is because of a spinal mode of action.
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Paediatric anaesthesia · Apr 2010
Comment Letter Case ReportsThe Airtraq may not be the solution for infants with difficult airways.
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OBJECTIVES & AIM: The purpose of this investigation was to examine children's anxiety across the perioperative setting. ⋯ Identification and prevention of anxiety in children can help prevent negative outcomes following surgery.
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Paediatric anaesthesia · Apr 2010
Randomized Controlled TrialEfficacy of two oral premedicants: midazolam or a low-dose combination of midazolam-ketamine for reducing stress during intravenous cannulation in children undergoing CT imaging.
Pain, anxiety and fear of needles make intravenous cannulation extremely difficult in children. We assessed the efficacy and safety of oral midazolam and a low-dose combination of midazolam and ketamine to reduce the stress and anxiety during intravenous cannulation in children undergoing computed tomography (CT) imaging when compared to placebo. ⋯ A low-dose combination of oral midazolam and ketamine or oral midazolam alone effectively reduces the stress during intravenous cannulation in children undergoing CT imaging without any adverse effects. However, the combination provides more children in calm and quiet state when compared to midazolam alone at venipuncture.