Paediatric anaesthesia
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Paediatric anaesthesia · Oct 2011
Multicenter StudyCurrent treatment practices of venous thromboembolism in children admitted to pediatric intensive care units.
To describe current treatment practices of VTE in patients admitted to a pediatric intensive care unit (PICU) and compare these practices to published guidelines. ⋯ Confirmed VTEs in patients admitted to PICUs are most frequently treated with systemic anticoagulation; however, more intensive treatments such as systemic thrombolysis and surgical or interventional procedures are not uncommon in this critically ill population. Current practices deviate from the published antithrombotic guidelines developed for the general pediatric population.
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Paediatric anaesthesia · Oct 2011
Randomized Controlled TrialChildren on phenobarbital monotherapy requires more sedatives during MRI.
Phenobarbital induces specific hepatic cytochrome P-450 enzyme pathways causing increased clearance of hepatically metabolized drugs. In this study, we investigated the duration and additional anesthetic requirement during Magnetic resonance imaging (MRI) in epileptic children with or without phenobarbital monotherapy. ⋯ We suggest that the variability in response to the initial sedative agents during MRI requires titration of additive sedation with ketamine in epileptic children on phenobarbital monotherapy.
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Paediatric anaesthesia · Oct 2011
Randomized Controlled TrialInsertion of laryngeal mask airway does not increase the intraocular pressure in children with glaucoma.
It is hypothesized that in children with glaucoma, the insertion of laryngeal mask airway (LMA) will cause lesser rise in intraocular pressure (IOP) than tracheal tube (TT). ⋯ Insertion of LMA in glaucomatous children is not associated with an increased IOP response or cardiovascular changes.
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Paediatric anaesthesia · Oct 2011
Randomized Controlled TrialThe effect of timing and temperature of oral fluids ingested after minor surgery in preschool children on vomiting: a prospective, randomized, clinical study.
The time at which children should resume oral intake after surgery is controversial. No information has been published about the relationship between postoperative vomiting and the temperature of the fluid ingested. This study was designed to analyze the effect on postoperative vomiting of the timing and temperature of the fluids ingested in the first oral intake. ⋯ A first oral intake in children 1 h after anesthesia for minor surgery seems not to increase the incidence of vomiting as long as the ingested fluid is at body temperature.
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Paediatric anaesthesia · Oct 2011
Randomized Controlled TrialThe perioperative dialogue reduces postoperative stress in children undergoing day surgery as confirmed by salivary cortisol.
To evaluate the efficacy of 'the perioperative dialogue (PD)' by analyzing salivary cortisol, in 5- to 11-year-old children undergoing day surgery. ⋯ The PD's caring, continuity, and on-going dialogues were associated with low concentrations of salivary cortisol postoperatively and reduced morphine consumption and thus appears to be a valuable complement to standard perioperative care in children undergoing day surgery.