Paediatric anaesthesia
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Paediatric anaesthesia · Aug 2016
Arterial blood pressure in anesthetized neonates and infants: a retrospective analysis of 1091 cases.
Hypotension during general anesthesia in neonates and infants is considered to contribute to poor neurological outcome. ⋯ Hypotension, both postinduction and sustained during surgery, is a common phenomenon in anesthetized children under 1 year, peaking in neonates. Generally accepted lower limits of MAP in anesthetized infants urgently need to be defined, enabling us to develop anesthesia strategies avoiding cerebral hypoperfusion.
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Paediatric anaesthesia · Aug 2016
Predictors of unanticipated admission following ambulatory surgery in the pediatric population: a retrospective case-control study.
Ambulatory surgery plays an important role in pediatric anesthesia. However, it is difficult to predict which patients will experience complications. Age >80, ASA class 3 or 4, duration of surgery >3 h, and BMI 30-35 are independent predictors of unanticipated admission in adults. In this study, we retrospectively evaluate risk factors for unanticipated admission, following ambulatory surgery in children. ⋯ The incidence of unanticipated admission in children following ambulatory surgery is low. Age, ASA class, duration, and time of completion of surgery are predictors common to pediatrics and adults. Interestingly, intraoperative complications, OSA, and type of surgery (ENT, orthopedic, dental) are specific to pediatrics.
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Paediatric anaesthesia · Jul 2016
Comparative StudyComparison of anesthetic agents on otoacoustic emissions in children: propofol vs ketamine.
Otoacoustic emission (OAE) tests are important evaluation tools for diagnosis of peripheral auditory pathology. Sedation or general anesthesia may be required for the performance of the OAE tests. The aim of this retrospective study was to compare the effects of anesthetic agents, propofol and ketamine, on OAEs in children. ⋯ DPOAE measurements were reduced similarly by propofol and ketamine anesthesia. Lower false outcome ratio in TEOAE measurements made propofol a better option than ketamine.