Paediatric anaesthesia
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Paediatric anaesthesia · Jul 2014
Multicenter Study Observational StudyIncidence of pain after craniotomy in children.
There is very few information regarding pain after craniotomy in children. ⋯ Children receiving multimodal analgesia experience little or no pain after major craniotomy. Longer surgical procedures correlate with an increased risk of having postoperative pain.
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Paediatric anaesthesia · Jul 2014
ReviewIntraoperative blood pressure and cerebral perfusion: strategies to clarify hemodynamic goals.
Blood pressure can vary considerably during anesthesia. If blood pressure falls outside the limits of cerebrovascular autoregulation, children can become at risk of cerebral ischemic or hyperemic injury. However, the blood pressure limits of autoregulation are unclear in infants and children, and these limits can shift after brain injury. This article will review autoregulation, considerations for the hemodynamic management of children with brain injuries, and research on autoregulation monitoring techniques.
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Paediatric anaesthesia · Jul 2014
ReviewSpinal clearance in unconscious children following traumatic brain injury.
Spinal clearance in unconscious children following traumatic brain injury is an area of controversy. The risk of significant injury in this high-risk group needs to be balanced against that of prolonged spinal immobilization and all its implications. ⋯ This article reviews traumatic spinal injury in children looking at prevalence, risk factors, anatomical considerations, and radiological investigation. Spinal immobilization is discussed along with the use of appropriate and targeted radiological investigations to aid clearance.
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Paediatric anaesthesia · Jul 2014
Randomized Controlled TrialSevoflurane-induced changes in infants' quantifiable electroencephalogram parameters.
Electroencephalogram (EEG) based depth of anesthesia algorithms developed in the adult population have not demonstrated the same reliability when applied to infants. This may be due to frequency changes occurring in the EEG during development. Amplitude-integrated EEG (aEEG) is based primarily in the time domain and hence may have greater utility in infants. ⋯ The aEEG is unlikely to be a useful measure of anesthesia depth in young children.