Paediatric anaesthesia
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Paediatric anaesthesia · Sep 2011
Cardiac arrest upon induction of anesthesia in children with cardiomyopathy: an analysis of incidence and risk factors.
It is thought that patients with cardiomyopathy have an increased risk of cardiac arrest on induction of anesthesia, but there is little available data. The purpose of this study was to identify the incidence and potential risk factors for cardiac arrest upon induction of anesthesia in children with cardiomyopathy in our institution. ⋯ We performed a review of the last 10 years of anesthesia events in children with cardiomyopathy. We report four cardiac arrests in two patients and 236 anesthetic events (1.7%). To the best of our knowledge, this is the largest review of these patients to date but is limited by its retrospective nature. The low cardiac arrest incidence prevents the identification of risk factors and the development of a cardiac arrest risk predictive clinical tool.
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Paediatric anaesthesia · Sep 2011
Tips and tricks to facilitate ultrasound-guided placement of peripheral nerve catheters in children.
To describe an approach to facilitate ultrasound (US)-guided placement of peripheral nerve catheters in children. ⋯ Continuous peripheral nerve blocks in children should be placed under US guidance in LAX whenever possible, with a three-hand technique and slightly withdrawing or rotating the needle tip to introduce the catheter, administering LA through the catheter, and performing subcutaneous tunneling and careful dressing.