Paediatric anaesthesia
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Paediatric anaesthesia · Jul 2022
Randomized Controlled TrialA Comparison of the Oropharyngeal Leak Pressure between Three Second Generation Supraglottic Airway Devices During Laparoscopic Surgery in Pediatric Patients.
Previous studies have shown Proseal LMA and I gel similar to endotracheal intubation in ventilatory ability in pediatric laparoscopic surgeries. ⋯ I gel had a higher oropharyngeal leak pressure than the other two supraglottic airway devices and therefore may represent a better choice in situations where higher ventilatory pressures may be necessary, for example, in extremes of weight trendelenburg position, etc. CLINICAL TRIAL IDENTIFIER: Clinical trial registry of India (CTRI/2018/11/016445).
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Paediatric anaesthesia · Jul 2022
Observational StudyTemperature change in children undergoing magnetic resonance imaging - an observational cohort study.
An increasing number of children undergo magnetic resonance imaging requiring anesthesia or sedation to ensure their immobility; however, magnetic resonance imaging may increase body temperature whereas sedation or anesthesia may decrease it. We investigated changes in body temperature in children who underwent sedation or anesthesia for magnetic resonance imaging. ⋯ In this study of sedated or anesthetized children undergoing magnetic resonance imaging, clinically relevant increases in body temperature above 0.5°C were only found in a few patients. However, longer imaging duration tended to be associated with increased body temperature.
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Paediatric anaesthesia · Jul 2022
Observational StudyPerformance time of anesthesiology trainees for cricothyroid membrane identification and characteristics of cricothyroid membrane in pediatric patients using ultrasonography.
Identifying the cricothyroid membrane is an essential technical skill for front-of-neck access procedures. ⋯ Anesthesiology trainees without experience in airway ultrasound successfully identified the cricothyroid membrane in pediatric patients using ultrasonography after a brief training period. Further research is required as the identification of a structure does not predict the success of the actual procedure, particularly if done in an emergency situation.