Paediatric anaesthesia
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Paediatric anaesthesia · Oct 2016
Early childhood exposure to short periods of sevoflurane is not associated with later, lasting cognitive deficits.
A detrimental effect of commonly used anesthetics on the neurodevelopmental and behavioral parameters has long been shown in young animals subjected to early childhood anesthesia. Epidemiologic studies suggest the possibility of a modestly elevated risk of adverse neurodevelopmental outcomes in children exposed to anesthesia during early childhood. However, these results are still preliminary and inconclusive. ⋯ It can be concluded that brief periods of anesthesia with single anesthetic sevoflurane may be safe for children under age 3.
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Paediatric anaesthesia · Oct 2016
An audit of patient-controlled analgesia after appendicectomy in children.
Patient-controlled analgesia (PCA) is commonly used after appendicectomy in children. ⋯ It is feasible that children with uncomplicated appendicitis given intraoperative NSAID can be successfully managed without PCA.
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Paediatric anaesthesia · Oct 2016
Perioperative complications and outcomes in children with cerebral palsy undergoing scoliosis surgery.
Neuromuscular scoliosis is a known risk factor for postoperative complications after corrective spine surgery. Few studies have looked at the preoperative factors affecting postoperative complications in children with cerebral palsy. ⋯ Presence of two or more comorbidities and thoracotomy are risk factors for perioperative complications in children with cerebral palsy undergoing surgery for scoliosis correction.