Paediatric anaesthesia
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Paediatric anaesthesia · Jan 2023
Factors Associated with Immediate and Early Extubation in Pediatric Living-Donor Liver Transplant Recipients.
The practice of prompt extubation after adult liver transplantation has increasingly been applied in the pediatric population. Therefore, the factors contributing to this intervention should be identified in order to minimize failures. ⋯ Our findings indicated that 39% of the pediatric living donor-liver transplantation patients tolerated early extubation and that the only associated factor was anhepatic time. Early extubation significantly reduces the number of days of intensive care unit stay but may not change the length of hospital stay.
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Paediatric anaesthesia · Jan 2023
Comparative Efficacy Of Finger Versus Forehead Plethysmographic Variability Index Monitoring In Pediatric Surgical Patients.
The Plethysmographic Variability Index can be measured by both finger and forehead probes. Vasoconstriction may jeopardize the reliability of finger PVI measurements in pediatric patients undergoing surgery. However, forehead vasculature exhibits more marked resistance to alterations in the vasomotor tonus. ⋯ Although forehead and finger Plethysmographic Variability Index monitoring were similarly sensitive in predicting fluid responsiveness in pediatric surgical patients, the former method provided higher specificity. The best cut-off value for PVI measurements with forehead and finger probes was found to be 14%.