Paediatric anaesthesia
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Paediatric anaesthesia · Sep 2013
Biography Historical ArticleFrom arrow poison to neuromuscular blockers.
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Paediatric anaesthesia · Aug 2013
Postoperative pain, nausea and vomiting following adeno-tonsillectomy - a long-term follow-up.
Adenotonsillectomy is a common pediatric surgical procedure. Our knowledge of the recovery profile, parental understanding, and expectations is limited. We aimed to assess the incidence of pain, nausea, and vomiting in children undergoing adenotonsillectomy on postoperative day 3 and 7. We also wished to evaluate parental understanding regarding discharge instructions as well as parental expectations and experience of their child's recovery. ⋯ Adenotonsillectomy is associated with significant pain and PONV, persisting into the seventh postoperative day. Parental education and information seems inadequate and needs to be improved.
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Paediatric anaesthesia · Aug 2013
Case ReportsSamter's triad in childhood: a warning for those prescribing NSAIDs.
Aspirin-exacerbated respiratory disease (AERD) has been recognized in adults with chronic asthma. Samter's triad is a subset of AERD where adult patients develop nasal polyps, asthma, and sensitivity to aspirin. This condition is thought not to occur before the third decade of life. ⋯ We suggest that graded aspirin challenges in children are undertaken in a facility with equipment and staff trained for resuscitation. Consideration should be given to this rare complication when prescribing nonsteroidal anti-inflammatory drugs in the perioperative period. Suspicion of this condition merits referral to an immunologist for desensitization to aspirin.