Paediatric anaesthesia
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Paediatric anaesthesia · May 2013
Randomized Controlled TrialA randomized study of surgical site infiltration with bupivacaine or ketamine for pain relief in children following cleft palate repair.
Wound infiltration with ketamine reduces postoperative pain after tonsillectomy by NMDA receptor blockade and local anesthetic effect. ⋯ Surgical site infiltration with either bupivacaine or ketamine provides adequate analgesia and is devoid of major side effects. Ketamine is superior to bupivacaine in terms of requirement of rescue analgesic, peaceful sleep pattern and early resumption of feeding.
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Paediatric anaesthesia · May 2013
Letter Case ReportsAnesthesia for a child with Camurati-Engelmann disease.
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Paediatric anaesthesia · May 2013
Case ReportsPneumoperitoneum for neonatal laparoscopy: how safe is it?
We present the case of a 3 day old term neonate who experienced a cardiopulmonary arrest during creation of pneumoperitoneum for laparoscopic repair of duodenal atresia. The arrest was thought likely to have occurred as a result of a gas embolism. We discuss the features of the neonatal circulation which may predispose neonates to embolic phenomena during laparoscopic procedures, and the potential benefit of priming the insufflation apparatus with carbon dioxide. The possibility of gas embolism should be considered when contemplating laparoscopic surgery in this patient group.
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Paediatric anaesthesia · May 2013
Randomized Controlled Trial Comparative StudyComparison of low-dose ketamine to midazolam for sedation during pediatric urodynamic study.
Aim of sedation during pediatric urodynamic studies (UDS) is a calm and cooperative child while not affecting measurements. We compared the effectiveness of midazolam to low-dose ketamine infusion for sedation and their impact on urodynamics. ⋯ Midazolam or low-dose ketamine provide satisfactory sedation during pediatric UDS without impacting urodynamic values.