Paediatric anaesthesia
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Paediatric anaesthesia · Dec 2012
Randomized Controlled TrialPerioperative outcomes of severely obese children undergoing tonsillectomy.
Severe obesity (BMI > 98th centile) in paediatric tonsillectomy is associated with an increased risk of perioperative respiratory complications.
pearl -
Paediatric anaesthesia · Dec 2012
Bronchial intubation could be detected by the visual stethoscope techniques in pediatric patients.
We created a system that allows the visualization of breath sounds (visual stethoscope). ⋯ The visual stethoscope allowed to display the left and the right lung sound simultaneously and detected changes of breath sounds and unilateral breath sound as a tracheal tube was advanced.
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Intussusception is the most frequent cause of bowel obstruction in children. Although enema is usually used as the initial treatment, surgery may be required in more than 50% of patients. General anesthesia (GA) has been suggested to increase the rate of enema success. The purpose of this study was to evaluate whether GA increases the success rate of reduction by air enema. ⋯ Air enema performed under GA allows intussusception reduction in more than 90% of patients.
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Paediatric anaesthesia · Dec 2012
Randomized Controlled TrialEmergency airway access in children--transtracheal cannulas and tracheotomy assessed in a porcine model.
In the rare scenario when it is impossible to oxygenate or intubate a child, no evidence exists on what strategy to follow. ⋯ In a piglet model, we found no significant difference in success rates or time to insert a jet ventilation cannula or an intravenous catheter transtracheally, but the incidence of complications was high. In the same model, we found a 97% success rate for performing an emergency tracheotomy within 4 min with a low rate of complications.