Paediatric anaesthesia
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Paediatric anaesthesia · Jun 2022
Outcomes Following Formation of a Dedicated Pediatric Liver Transplant Anesthesia Team.
Given the complex nature of liver transplant surgery, adult centers typically use a dedicated liver transplant anesthesia team, which has improved patient outcomes. ⋯ The liver group was associated with increased early extubations, decreased ventilator days, and decreased fresh frozen plasma use.
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Paediatric anaesthesia · Jun 2022
Consistency of remifentanil concentrations in propofol-remifentanil infusions. A laboratory-based study.
There is increasing interest in two-agent single-pump intravenous infusions for anesthesia and sedation in pediatric patients. Propofol-remifentanil is one such mixture. The poor miscibility of such admixtures when remifentanil is added in very high concentrations and when the admixtures are maintained in static conditions has been demonstrated; however, these physiochemical properties have not been examined in clinically relevant concentrations or settings. ⋯ The concentration of remifentanil was 5 mcg.ml-1 +/- 0.5 mcg.ml-1 and was consistent across 57 min of infusion, and two different pediatric weight profiles.
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Paediatric anaesthesia · Jun 2022
Analysis of the radial and ulnar arteries using ultrasound and a vascular visualization device in children.
Radial artery is the preferred site for cannulation. Recently, the ulnar artery was chosen as an alternative in adults. ⋯ The ulnar artery can be considered a promising alternative to the radial artery for facilitating arterial cannulation in children.