Paediatric anaesthesia
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Paediatric anaesthesia · Aug 2018
Multicenter Study Observational StudyPerioperative outcomes and management in midface advancement surgery: a multicenter observational descriptive study from the Pediatric Craniofacial Collaborative Group.
The evolution of Le Fort III and Monobloc procedures with utilization of distraction devices has resulted in shortened surgical times, greater facial advancements, and decreased transfusion requirements. The aim of this observational study was to utilize data from the multicenter Pediatric Craniofacial Surgery Perioperative Registry to present and compare patient characteristics and outcomes in children undergoing midface advancement with distraction osteogenesis. ⋯ Monobloc procedures were associated with greater transfusion and longer ICU and hospital length of stay. Perioperative complications were more prevalent in the Monobloc group.
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Paediatric anaesthesia · Aug 2018
Review Historical ArticleThe Ayre's T-piece turns 80: A 21st century review.
Ayre's T-piece, first introduced 80 years ago, continues to be widely used in pediatric anesthesia despite colossal advances in equipment and technology. We present a review of its history, advantages, and disadvantages, and place in modern-day clinical practice.
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Paediatric anaesthesia · Aug 2018
Randomized Controlled TrialEffects of remifentanil maintenance during recovery on emergence delirium in children with sevoflurane anesthesia.
Emergence delirium is a common complication of sevoflurane anesthesia in children. ⋯ Maintaining a low dose of remifentanil (0.05 μg/kg/min) throughout the recovery phase attenuated the incidence of emergence delirium in children undergoing strabismus surgery under sevoflurane anesthesia.
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Paediatric anaesthesia · Aug 2018
An evaluation of preoperative anxiety in Spanish-speaking and Latino children in the United States.
There is a large body of literature examining factors associated with children's preoperative anxiety; however, cultural variables such as ethnicity and language have not been included. ⋯ Clinicians should be aware that younger, less sociable children of Spanish-speaking Latino parents are at higher risk of developing preoperative anxiety and manage these children based on this increased risk.