Paediatric anaesthesia
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Paediatric anaesthesia · Mar 2021
Case ReportsThe utility of ultrasonography in anesthesia management in 3 cases of caudal regression. Syndrome.
Caudal regression syndrome is an extremely rare clinical entity. It is a challenge to anesthesiologist due to its multisystem involvement. Regional anesthesia literature on caudal regression syndrome is scarce. We report three cases where optimal use of ultrasonography aided in providing satisfactory peri-operative pain relief. Furthermore, a cogent and a logical review of the decision-making processes for the regional blockade in children with caudal regression syndrome are presented.
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Paediatric anaesthesia · Mar 2021
CommentA comparison of anesthetic protective barriers for the management of COVID-19 pediatric patients.
Barrier techniques, such as plastic sheets or intubation boxes, are purported to offer additional protection for healthcare workers. ⋯ A well-designed intubation box is an effective barrier against droplets and is noninferior to no barrier in relation to intubation time. However, a box interferes with laminar flow in theaters with formal ventilation systems and may result in accumulation of aerosols if it is completely enclosed.
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Paediatric anaesthesia · Mar 2021
Randomized Controlled TrialComparative Evaluation of One-handed Versus Two-handed Mask Holding Techniques in Children During Inhalational Induction of Anesthesia: A Randomized Crossover Study.
We aimed to evaluate if two-handed mask airway is superior to one-handed mask airway during inhalational induction of anesthesia in children. ⋯ In children with obstructive sleep apnea due to adenotonsillar hypertrophy, two-handed airway provides superior airway patency that was not influenced by the anesthetic depth.
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Paediatric anaesthesia · Mar 2021
Observational StudyOptimal insertion depth of subclavian vein catheterization via the right supraclavicular approach in children.
Methods to determine the optimal insertion depth of ultrasound-guided supraclavicular approach to the subclavian vein (SCV) catheterization, alternatively used for central venous access, are debatable in children. ⋯ Optimal insertion depth for an ultrasound-guided supraclavicular approach to the SCV catheterization can be calculated using modification of a surface landmark formula in children younger than 6 years and weight heavier than 5 kg.