Paediatric anaesthesia
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Paediatric anaesthesia · Jan 2013
Editorial Historical ArticleHistory of pediatric anesthesia timeline.
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Paediatric anaesthesia · Jan 2013
Ultrasound detection of guidewires in-plane during pediatric central venous catheterization.
To assess the usefulness of longitudinal ultrasound images of guidewires for pediatric central venous catheter (CVC) placement. ⋯ To confirm the insertion of dilators into veins in children, we recommend that longitudinal images of the guidewires should be initially acquired.
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Paediatric anaesthesia · Jan 2013
The pharmacokinetics of methadone in adolescents undergoing posterior spinal fusion.
The optimal methadone dosing regimen for children undergoing spinal surgery is uncertain because of sparse pediatric pharmacokinetic data and a paucity of analgesic effect data. The minimum effective analgesic concentration of methadone in opioid naïve adults is 58 mcg · L(-1). ⋯ Current pharmacokinetic parameter estimates in adolescents are similar to those reported in adults. Methadone undergoes rapid redistribution after bolus administration. This may result in plasma concentrations that provide inadequate analgesia postoperatively. We would suggest following the bolus (0.25 mg.kg(-1)) with an infusion (0.1-0.15 mg · kg(-1) · h(-1) for 4 h) during spinal surgery to ensure adequate plasma concentrations for 24 h.
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Paediatric anaesthesia · Jan 2013
Postoperative vomiting in pediatric oncologic patients: prediction by a fuzzy logic model.
To report a fuzzy logic mathematical model to predict postoperative vomiting (POV) in pediatric oncologic patients and compare with preexisting scores. ⋯ The fuzzy score can predict the chance of POV in children with cancer with good accuracy, allowing better planning for postoperative prophylaxis of vomiting. The computational interface is available for free download at the internet and is very easy to use.