Paediatric anaesthesia
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Paediatric anaesthesia · Aug 2016
Comment LetterReply to Ekeoduru, Rhashedah; Matuszczak, Maria; Lin, Michael, regarding their comment 'Correspondence' regarding 'The presumed central nervous system effects of rocuronium in a neonate and its reversal with sugammadex' by Langley, McFadzean & McCormack.
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Paediatric anaesthesia · Aug 2016
Randomized Controlled TrialCould acupuncture be an adequate alternative to dexamethasone in pediatric tonsillectomy?
Usage of nonpharmacological treatment contributes to an overall patient well-being, assisting in physical and emotional healing. Acupuncture has been reported to be useful in reducing early postoperative vomiting (POV) and attenuating postoperative pain. ⋯ Acupuncture at P6 bilaterally and CV13 provided similar antiemetic effect to dexamethasone in children undergoing tonsillectomy.
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Children with chronic pain often undergo surgery and effective perioperative management of their pain can be challenging. Identification of the pediatric chronic pain patient preoperatively and development of a perioperative pain plan may help ensure a safer and more comfortable perioperative course. Successful management usually requires multiple different classes of analgesics, regional anesthesia, and adjunctive nonpharmacological therapies. Neuropathic and oncological pain can be especially difficult to treat and usually requires an individualized approach.