Paediatric anaesthesia
-
Paediatric anaesthesia · Dec 2012
Randomized Controlled TrialAsleep-awake-asleep technique in children during strabismus surgery under sufentanil balanced anesthesia.
Both over- and undercorrection can occur in up to 10-15% of strabismus surgeries. Use of adjustable suture technique and an intraoperative awake test may decrease the incidence of over- or undercorrection. In this study, we investigated the ability to provide optimal conditions for intraoperative awake strabismus suture adjustment in children by means of target-controlled infusions (TCI) of propofol and remifentanil propofol compared with propofol and sufentanil. ⋯ Propofol combined with sufentanil or remifentanil can be suitable for planned intraoperative awakening for an adjustable suture technique in pediatric patients during strabismus surgery. Remifentanil has quicker wake-up time; however, sufentanil demonstrated an advantage in terms of better analgesia, more stable hemodynamics, and improved qualify of awakening.
-
Paediatric anaesthesia · Dec 2012
Randomized Controlled Trial Comparative StudyA randomized trial comparing the Ambu ® Aura-i ™ with the air-Q ™ intubating laryngeal airway as conduits for tracheal intubation in children.
To assess the clinical performance of the Ambu Aura-i (Aura-i) in children. ⋯ Both devices served as effective conduits for fiberoptic-guided tracheal intubation. The limitation of the narrower proximal airway tube of the size 1.5 Aura-i should be considered if cuffed tracheal tubes are to be utilized.
-
Paediatric anaesthesia · Dec 2012
Randomized Controlled Trial Comparative StudyTracheal extubation of deeply anesthetized pediatric patients: a comparison of sevoflurane and sevoflurane in combination with low-dose remifentanil.
We aimed to observe the emergence characteristics of children tracheally extubated in deep anesthesia with sevoflurane or sevoflurane in combination with low-dose remifentanil. ⋯ Low-dose remifentanil in combination with sevoflurane provided rapid recovery and was safe for deep tracheal extubation in deep anesthesia in pediatric patients.
-
Paediatric anaesthesia · Dec 2012
Comparative StudyThe 'Can't Intubate Can't Oxygenate' scenario in Pediatric Anesthesia: a comparison of different devices for needle cricothyroidotomy.
Little evidence exists to guide the management of the 'Can't Intubate, Can't Oxygenate' (CICO) scenario in pediatric anesthesia. ⋯ Cannula tracheotomy in a model comparable to the infant airway is difficult and not without complication. Cannulae of 14- and 18-gauge appear to offer similar performance. Successful aspiration is the key predictor of appropriate cannula placement. The Quicktrach Child was not used successfully in this model. Further work is required to compare possible management strategies for the CICO scenario.