Paediatric anaesthesia
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Paediatric anaesthesia · Feb 2020
The Effectiveness of Epidural Blood Patch in Patients with Cerebral Palsy Treated with Intrathecal Baclofen Implantation.
Cerebrospinal fluid leak and postdural puncture spinal headache following intrathecal baclofen therapy are known complications. Although primary treatments are conservative, epidural blood patch is an alternative in patients with persistent and severe symptoms. ⋯ Spinal headache and cerebrospinal fluid leak are known complications after intrathecal baclofen treatment in children with cerebral palsy. When conservative treatments are unsuccessful, epidural blood patch can be used with confidence for these patients. In patients with ongoing symptoms, it is possible to obtain success by repeating the epidural blood patch to continue intrathecal baclofen treatment and avoid aggressive surgery.
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Paediatric anaesthesia · Feb 2020
Randomized Controlled TrialVirtual Reality during Pediatric Vascular Access: A Pragmatic, Prospective Randomized, Controlled Trial.
Vascular access is a minor procedure that is associated with reported pain and fear in pediatric patients, often resulting in procedural incompliance. Virtual reality has been shown to be effective in adult populations for reducing pain and anxiety in various medical settings, although large studies are lacking in pediatrics. ⋯ This study demonstrates no reduction in pain while using Virtual reality (VR) across a heterogeneous pediatric inpatient population undergoing vascular access.