Paediatric anaesthesia
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Paediatric anaesthesia · Sep 2012
Parents' understanding of and compliance with fasting instruction for pediatric day case surgery.
To determine whether parents understand and adhere to preoperative fasting instructions. ⋯ Children we believe to be fasted may not be. Parents may deliberately misrepresent the actual fasting status of their child. Adherence to fasting advice may be affected by parents' recall and understanding of fasting advice.
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Paediatric anaesthesia · Sep 2012
Randomized Controlled Trial Comparative StudyA randomized controlled trial comparing the AccuVein AV300 device to standard insertion technique for intravenous cannulation of anesthetized children.
To evaluate the efficacy of the AccuVein AV300 device in improving the first-time success rate of intravenous cannulation of anesthetized pediatric patients. ⋯ There were 146 patients with a median age of 4.6 years (range, 0.18-17.1 years), 46.6% were male, 80.8% were light skin colored, and 15.7% were younger than 2 years. The first-attempt success rates were 75% (95% CI, 63.8-84.2%) using AV300 and 73% (95% CI, 61.9-81.9%) using the standard method (P = 0.85). Patients with dark or medium skin color were 0.38 times less likely to have a successful first attempt than patients with light skin color. The difference between the two treatment groups in number of skin punctures and the time to insertion was not significant. Although the AV300 was easy to use and improved visualization of the veins, we found no evidence that it was superior to the standard method of intravenous cannulation in unselected pediatric patients under anesthesia.
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Paediatric anaesthesia · Sep 2012
Ultrasonic analysis of the anatomical relationships between vertebral arteries and internal jugular veins in children.
Accidental puncture of the vertebral arteries (VAs) can occur through the internal jugular veins (IJVs) during central venous catheterization (CVC). We evaluated the anatomic relation of the VAs to the IJVs in children undergoing IJV cannulation. ⋯ Seven of the 55 children were categorized under the H group for accidental puncture of the VAs. Thus, it is important to identify the presence of the VAs to avoid accidental puncture during pediatric CVC.