Paediatric anaesthesia
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Paediatric anaesthesia · Mar 2016
Observational StudyValidity of sidestream endtidal carbon dioxide measurement in critically ill, mechanically ventilated children.
Capnography is used to monitor the endtidal carbon dioxide tension (EtCO2) in exhaled gas. Sidestream capnography has great potential to monitor mechanically ventilated pediatric patients, given the continuous sampling from the endotracheal tube into a gas sensor. However, hemodynamic and respiratory impairments may reduce reliability and validity of sidestream capnography to monitor arterial carbon dioxide tension (PaCO2) in critically ill, mechanically ventilated children. ⋯ Sidestream capnography in mechanically ventilated infants and children seems moderately reliable and valid when corrected for individual differences. Therefore, it could only be used with caution for trend estimation in the individual patient.
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Paediatric anaesthesia · Mar 2016
Intranasal dexmedetomidine: an effective sedative agent for electroencephalogram and auditory brain response testing.
Dexmedetomidine is an α2 agonist with sedative, anxiolytic, and analgesic properties. The intranasal (IN) route avoids the pain of intravenous (i.v.) catheter placement but limited literature exists on the use of IN dexmedetomidine. This study examines the effectiveness and safety of IN dexmedetomidine for sedation of patients undergoing electroencephalogram (EEG) and auditory brain response (ABR) testing. ⋯ IN dexmedetomidine is an effective and noninvasive method of sedating children for EEG and ABR.