Paediatric anaesthesia
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Paediatric anaesthesia · Oct 2021
Validation of the Ramsay scale for invasive procedures under deep sedation in pediatrics.
The Ramsay scale is the most widely used scale during pediatric procedures although it has not been formally validated. ⋯ The Ramsay scale is valid, reliable, and applicable to monitoring sedation for invasive procedures under deep sedation in pediatrics.
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Paediatric anaesthesia · Oct 2021
Relationship between pre-incision Pupillary Pain Index and post-incision heart rate and pupillary diameter variation in children.
The Pupillary Pain Index is a recent pupillometric index designed to assess the level of analgesia under general anesthesia in children and adults. If analgesia is inadequate, acute nociceptive stimuli such as skin incision may induce significant hemodynamic disturbances. ⋯ In children, pre-incision Pupillary Pain Index was moderately correlated with post-incision nociception. Pre-incision Pupillary Pain Index had good predictive performances for heart rate or pupillary diameter reactivity to skin incision. Pre-incision Pupillary Pain Index <3 might predict the absence of heart rate reaction to incision.
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Paediatric anaesthesia · Oct 2021
Randomized Controlled TrialComparative Efficacy of C-MAC® Miller Videolaryngoscope Versus McGrath® MAC Size '1' Videolaryngoscope in Neonates and Infants Undergoing Surgical Procedures Under General Anesthesia: A Prospective Randomized Controlled Trial.
Various anatomical and physiological factors make intubation in infants challenging. C-MAC videolaryngoscope shows better results as compared to the conventional direct laryngoscopy for intubation in infants. McGrath MAC size-1 with a disposable Macintosh type blade has recently been introduced for use in infants and has not been formally evaluated in this population. ⋯ The C-MAC Miller blade showed similar intubation timings, success rates, and intubation difficulty score as compared to McGrath MAC in neonates and infants, though the former provided superior glottic views. Both the videolaryngoscopes may be safely used in infants and neonates for routine intubation scenarios.
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Paediatric anaesthesia · Oct 2021
Observational StudyBehavioral changes after hospital discharge in preschool children experiencing emergence delirium after general anesthesia: a prospective observational study.
Emergence delirium is well known as early postoperative behavioral change after general anesthesia. However, it is unclear whether children with emergence delirium have negative behavioral changes after hospital discharge. ⋯ Children with emergence delirium developed more severe behavior changes 1 week after surgery than those without emergence delirium. High preoperative anxiety level and emergence delirium scores were associated with posthospital behavioral changes.