Paediatric anaesthesia
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Paediatric anaesthesia · Dec 2013
Comment LetterReply to the comment on: Witt L, Dennhardt N, Eich C et al. Prevention of intraoperative hypothermia in neonates and infants: results of a prospective multicentre observational study with a new forced-air warming system with increased warm air flow. Pediatr Anesth 2013; 23: 469-474.
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Paediatric anaesthesia · Dec 2013
Randomized Controlled TrialEvaluation of closed-loop anesthesia delivery for propofol anesthesia in pediatric cardiac surgery.
The objective of this study was to compare the feasibility of closed-loop anesthesia delivery with manual control of propofol in pediatric patients during cardiac surgery. ⋯ This study demonstrated the feasibility of closed-loop controlled propofol anesthesia in children, even in challenging procedures such as cardiac surgery. Closed-loop system needs further and larger evaluation to establish its safety and efficacy.
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Paediatric anaesthesia · Dec 2013
Tobacco control education in pediatric anesthesiology fellowships.
Cigarette smoking and secondhand smoke exposure (SHS) increase the risk of perioperative complications. Traditionally, anesthesiologists have limited involvement in tobacco control. ⋯ Many pediatric anesthesiology fellowship directors agree that exposure to cigarette smoke adversely impacts patients in the perioperative period, but few participate in tobacco control, and issues germane to tobacco control are not consistently addressed.
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Paediatric anaesthesia · Dec 2013
Ultrasound-guided approach to the paravertebral space for catheter insertion in infants and children.
Paravertebral perineural blocks are used to prevent pain in the thoracoabdominal dermatomes. Traditionally, a landmark-based technique is used in children, while ultrasound-guided (UG) techniques are being employed in adult patients. ⋯ This technical description demonstrates the feasibility of placing PVNB catheters using a transverse in-line ultrasound-guided technique in a wide range of pediatric patients.