Paediatric anaesthesia
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Paediatric anaesthesia · Mar 2018
Comparative Study Observational StudyCuffed endotracheal tubes in infants less than 3 kg: A retrospective cohort study.
Cuffed endotracheal tubes are being increasingly used in infants; however, current evidence in the literature mostly includes infants ≥ 3-kg weight. ⋯ This retrospective study with a small sample size found that Microcuff® cuffed endotracheal tubes may be safe in neonates < 3 kg. Well-designed randomized controlled trials are needed to address this issue definitively.
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Paediatric anaesthesia · Mar 2018
Multicenter Study Observational StudyPersistent pain following common outpatient surgeries in children: A multicenter study in Italy.
The prevalence of persistent postsurgical pain in children is over 20% after major surgeries; however, data are scarce on the prevalence, character, and risk factors among children undergoing common ambulatory surgeries. The primary aim of this study was to evaluate the prevalence of persistent pain following pediatric ambulatory surgery at 1, 3, and 6 months. Secondary aims were to identify risk factors and characterize the pain and consequences of persistent postsurgical pain. ⋯ Our data support the presence of persistent pain in pediatric patients after common surgeries. Most patients who developed persistent pain at 6 months had pain at 1 month. We recommend questioning at follow-up visit about persistent pain and functional impairment with follow-up until resolution.
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Paediatric anaesthesia · Mar 2018
Randomized Controlled TrialSedation for magnetic resonance imaging using propofol with or without ketamine at induction in pediatrics-A prospective randomized double-blinded study.
Deep sedation using propofol has become a standard technique in children. This double-blinded randomized clinical trial aims to compare the clinical effects of propofol-mono-sedation vs a combination of propofol and ketamine at induction and a reduced propofol infusion rate for maintenance in children undergoing diagnostic magnetic resonance imaging. ⋯ Both sedation concepts proved to be reliable with a low incidence of side effects. Ketamine at induction with a reduced propofol infusion rate leads to faster postanesthetic recovery.
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Paediatric anaesthesia · Mar 2018
Role of ultrasound guided epidural anesthesia for lower limb surgery in children with previously repaired meningomyelocele.
Children that have had a meningomyelocele repair often present for hip and bilateral lower limb surgeries. Due to vertebral, epidural, and nerve root abnormalities, placement of epidural catheter is difficult. ⋯ Ultrasound guidance aids in identification of normal intervertebral space and explicitly shows the abnormal space. It can be used as an aid to differentiate between normal and abnormal space in post-meningomyelocele repair.
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Paediatric anaesthesia · Mar 2018
Comment LetterReply to Clark, Natasha; Morris, Stephen; Sargant, Nicholas, regarding their comment "Comment on Case Report 'Anaphylactic reaction to tranexamic acid in an adolescent undergoing posterior spinal fusion' by Chiem J, Ivanova I, Jimenez N et al. Paediatric Anaesthesia 2017;27: 774-775."