Paediatric anaesthesia
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Paediatric anaesthesia · Feb 2020
Does a two-minute mini-fluid challenge predict fluid responsiveness in pediatric patients under general anesthesia?
Very little evidence for predictive markers of fluid responsiveness has been reported in children as compared to adults. The impact of hypovolemia or hypervolemia on morbidity has driven interest in the fluid challenge titration strategy. ⋯ ΔVTIminiFC weakly predicted the effects of a fluid challenge of 15 mL kg-1 of crystalloid in anesthetized children under controlled mechanical ventilation.
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Paediatric anaesthesia · Feb 2020
Case ReportsThoracic Caudal Epidural Catheter Localization Using Ultrasound Guidance.
Caudal epidural catheters provide exceptional analgesia while avoiding or minimizing opioids. Historically, the catheter tip location (dermatomal level) was estimated or verified via epidurogram. ⋯ Ponde et al demonstrated that catheter insertion depth was longer when using ultrasound guidance than when estimated by external measurement. We report a simple yet novel ultrasound approach for catheter localization.