Paediatric anaesthesia
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Paediatric anaesthesia · Jun 2017
Randomized Controlled Trial Comparative StudyInteractive web-based format vs conventional brochure material for information transfer to children and parents: a randomized controlled trial regarding preoperative information.
Information transfer to patients is an integral part of modern medicine. Internet-based alternatives represent a new and attractive way for information transfer. ⋯ Children in the age range 3-12 years of age as well as their parents do better attain preoperative information from an interactive web-based platform compared to conventional brochure material.
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Paediatric anaesthesia · Jun 2017
Assessing the survival impact of perioperative opioid consumption in children and adolescents undergoing cytoreductive surgery with hyperthermic intraperitoneal chemotherapy.
Several studies in adult patients have suggested an unfavorable association between opioid consumption and cancer progression. ⋯ In this retrospective study of children and adolescents who had undergone cytoreductive surgery with hyperthermic intraperitoneal chemotherapy, there was no statistically significant association between opioid consumption and recurrence-free survival or overall survival.
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Paediatric anaesthesia · Jun 2017
Case Reports2p24.1p23.2 deletion and delayed recovery after a general anesthesia for gastrointestinal endoscopic procedure.
Interstitial 2p deletions are very rare and may include proopiomelanocortin (POMC) gene (2p23.3). Our 10-year-old patient, known to carry this genetic anomaly, underwent an endoscopic interventional procedure under general anesthesia. After a sevoflurane induction, alfentanil (8.5 μg·kg-1 ) was given. ⋯ There was an unexpected delayed recovery likely reflecting an unexpected delayed recovery likely due to opioid hypersensitivity. The deletion of POMC may cause a deficit in endorphin and may lead to an up-regulation of opioid receptors. Exogenous opioids should be used with particular caution in patients suffering a deficit of POMC.
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Paediatric anaesthesia · Jun 2017
Observational StudyRed cell distribution width as a novel predictor of postoperative respiratory adverse events after adenotonsillectomy.
Respiratory adverse events are commonly observed after adenotonsillectomy in children with sleep-disordered breathing. Preoperative prediction of these events enhances quality of care and resource management in facilities while encouraging precautions against them. Red cell distribution width, a measure of erythrocyte size variability, has recently been linked to adverse outcomes in a variety of disorders. Red cell distribution width has also been found to be associated with severity of obstructive sleep apnea in adults due to hypoxia-mediated inflammation. ⋯ Our study showed that preoperative elevated red cell distribution width is associated with an increased risk of respiratory adverse events in children undergoing adenotonsillectomy for sleep-disordered breathing.
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Paediatric anaesthesia · Jun 2017
Pediatric upper airway dimensions using three-dimensional computed tomography imaging.
Computed tomography- (CT) and magnetic resonance imaging (MRI)-based measurements have recently suggested that the narrowest dimension of the pediatric airway is the subglottic region. These data are contrary to the previously held tenets of a funnel- or conical-shaped airway. The current study evaluates airway volumes and shapes using three-dimensional CT images of the air way column in spontaneously breathing children. ⋯ This study confirms recent studies demonstrating that the subglottic region not the cricoid is the narrowest part of the airway.