Paediatric anaesthesia
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Paediatric anaesthesia · Nov 2018
Description of typical personality factors and events that lead to anxiety at induction of anesthesia in French children.
Preventive strategies are available to reduce preoperative anxiety in children, the ideal time for implementing such strategies remains poorly determined. ⋯ The present study identified a combination of psychological factors and events associated with the development of anxiety at induction of anesthesia in children. Parental anxiety impacts upon children and occurs before the preanesthetic consultation. This result may assist clinicians to prescribe personalized preventive strategies against anxiety.
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Paediatric anaesthesia · Nov 2018
Anesthesia in children with osteogenesis imperfecta: Retrospective chart review of 83 patients and 205 anesthetics over 7 years.
Osteogenesis imperfecta is the collective term for a heterogeneous group of connective tissue syndromes characterized by bone fragility with multisystem involvement and perioperative implications. ⋯ Patients with osteogenesis imperfecta undergo frequent anesthetic exposures, but anesthetic challenges in our series were uncommon. Odds of challenges are greater in severe osteogenesis imperfecta Type III, with significant blood loss and difficulty placing intravenous catheters more likely encountered in the more severe types.
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Paediatric anaesthesia · Nov 2018
Case ReportsVirtual reality for lumbar puncture in a morbidly obese patient with leukemia.
Virtual reality is an immersive technology that can provide distraction and anxiolysis during painful procedures. While it has been shown to be effective in less invasive procedures, it is underutilized in more invasive procedures. We describe using virtual reality for a morbidly obese patient with leukemia undergoing lumbar puncture. The use of virtual reality reduced the amount of analgesics and anxiolytics and the procedure and recovery times compared with no virtual reality.
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Paediatric anaesthesia · Nov 2018
Interventional procedures in children and adolescents with chronic non-cancer pain as part of a multidisciplinary pain treatment program.
Interventional procedures are part of multidisciplinary pain treatment programs to treat chronic non-cancer pain conditions in children and adolescents. However, the real benefit of these interventions remains unclear. ⋯ The use of interventional procedures may represent a valid therapeutic option, associated with positive clinical outcomes within a multidisciplinary program.
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Paediatric anaesthesia · Nov 2018
Efficacy of liposomal bupivacaine in pediatric patients undergoing spine surgery.
Liposomal bupivacaine may be an option for reducing opioid utilization in pediatric scoliosis surgery. The use of liposomal bupivacaine in this patient population has not been previously described. ⋯ Liposomal bupivacaine was not associated with reductions in postoperative opioid use in pediatric spinal surgery.