Paediatric anaesthesia
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Paediatric anaesthesia · Jul 2022
Comprehensive Risk Assessments and Anesthetic Management for Children with Osteogenesis Imperfecta: A Retrospective Review of 252 Orthopedic Procedures Over 5 Years.
Major anesthetic risks arise in orthopedic surgeries for children with osteogenesis imperfecta, a rare genetically inherited condition presenting diverse skeletal issues. ⋯ Anesthesia for children with osteogenesis imperfecta undergoing complex orthopedic procedures was challenging. Proper anesthesia planning was essential for both intraoperative management and postoperative analgesia. Age, surgical duration, and use of sevoflurane for maintenance impacted the intraoperative temperature most, and massive blood loss was not uncommon. The risks for airway or regional anesthesia difficulties were low. Pain scores could be controlled to be ≤3 via multiple techniques.
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Paediatric anaesthesia · Jul 2022
Observational StudyComparison of the Newborn Infant Parasympathetic Evaluation (NIPETM ) index to changes in heart rate to detect intraoperative nociceptive stimuli in healthy and critically ill children below 2 years: An observational study.
The validity of current tools for intraoperative objective assessment of nociception/antinociception balance during anesthesia in young and very young surgery children is unknown. ⋯ The NIPE index was reliable for assessing intraoperative nociception in children aged <2 years and was more reproducible for detecting specific nociceptive stimuli during general anesthesia than heart rate. An effect on postoperative outcome is still elusive.
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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.