Paediatric anaesthesia
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Paediatric anaesthesia · Aug 2018
Randomized Controlled TrialThe effect of xenon-augmented sevoflurane anesthesia on intraoperative hemodynamics and early postoperative neurocognitive function in children undergoing cardiac catheterization: A randomized controlled pilot trial.
In adults, xenon has only minimal hemodynamic side effects when compared with other anesthetics. Moreover, in preclinical experiments, xenon has been demonstrated to possess cardio- and neuroprotective properties. Altogether, the favorable hemodynamic profile combined with its potential for organ-protection could render xenon an attractive option for anesthesia in children with cardiovascular compromise. ⋯ In this pilot trial, xenon-augmented sevoflurane anesthesia in school-aged children was feasible, and associated with decreased ephedrine requirements. All children exposed to anesthesia showed impaired neurocognitive performance in the immediate postoperative period when compared to control children; however, without significant differences between both treatment groups.
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Paediatric anaesthesia · Aug 2018
Review Historical ArticleThe Ayre's T-piece turns 80: A 21st century review.
Ayre's T-piece, first introduced 80 years ago, continues to be widely used in pediatric anesthesia despite colossal advances in equipment and technology. We present a review of its history, advantages, and disadvantages, and place in modern-day clinical practice.
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Paediatric anaesthesia · Aug 2018
Randomized Controlled TrialEffects of remifentanil maintenance during recovery on emergence delirium in children with sevoflurane anesthesia.
Emergence delirium is a common complication of sevoflurane anesthesia in children. ⋯ Maintaining a low dose of remifentanil (0.05 μg/kg/min) throughout the recovery phase attenuated the incidence of emergence delirium in children undergoing strabismus surgery under sevoflurane anesthesia.
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Paediatric anaesthesia · Aug 2018
An evaluation of preoperative anxiety in Spanish-speaking and Latino children in the United States.
There is a large body of literature examining factors associated with children's preoperative anxiety; however, cultural variables such as ethnicity and language have not been included. ⋯ Clinicians should be aware that younger, less sociable children of Spanish-speaking Latino parents are at higher risk of developing preoperative anxiety and manage these children based on this increased risk.