Paediatric anaesthesia
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Paediatric anaesthesia · Nov 2014
The effectiveness of ambulatory continuous peripheral nerve blocks for postoperative pain management in children and adolescents.
Ambulatory continuous peripheral nerve blocks (CPNBs) are feasible for pediatric patients. We sought to evaluate the efficacy of CPNBs in a pediatric population. ⋯ Our patients and their caregivers were very satisfied with ambulatory CPNBs. When combined with oral analgesics, CPNBs provided effective home postoperative analgesia.
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Paediatric anaesthesia · Nov 2014
Observational StudyThe relative position of femoral artery and vein in children under general anesthesia - an ultrasound-guided observational study.
Femoral artery overlaps femoral vein by varying degrees distal to the inguinal ligament, which may result in difficult venous access and also increases the risk of arterial puncture. ⋯ A significant increase in femoral vein overlap occurs as we move distal to the inguinal ligament. There is one in five chance of failure to locate femoral vein by landmark technique. In children <2 years, a high approach to femoral vein cannulation under ultrasound guidance is recommended.
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Paediatric anaesthesia · Nov 2014
Anesthetic management of patients with Joubert syndrome: a retrospective analysis of a single-institutional case series.
To analyze the anesthetic techniques used for sedation during magnetic resonance imaging (MRI) study of patients with Joubert syndrome (JS) and assess the safety and efficacy of these anesthetic regimens in these children. ⋯ Alpha-2 agonist based anesthetic technique appears to be most suitable for sedation during MRI study in patients with JS with respect to adverse events and outcome.