Paediatric anaesthesia
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Paediatric anaesthesia · May 2013
Randomized Controlled Trial Comparative StudyComparison of low-dose ketamine to midazolam for sedation during pediatric urodynamic study.
Aim of sedation during pediatric urodynamic studies (UDS) is a calm and cooperative child while not affecting measurements. We compared the effectiveness of midazolam to low-dose ketamine infusion for sedation and their impact on urodynamics. ⋯ Midazolam or low-dose ketamine provide satisfactory sedation during pediatric UDS without impacting urodynamic values.
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Paediatric anaesthesia · May 2013
Randomized Controlled TrialRandomized trial of success of pediatric anesthesiologists learning to use two video laryngoscopes.
The primary purpose of this study was to establish the ability of pediatric anesthesiologists to learn to use two video laryngoscopes - the GlideScope(®) system (GS) and the Karl Storz Direct Coupled Interface, DCI(®), (KS). ⋯ Although only 65% of anesthesiologists attained the stringent study definition of 'Success', all rapidly leaned to use both video laryngoscopes.
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Paediatric anaesthesia · May 2013
Comparative StudyA new endotracheal tube for infants--laboratory and clinical assessment: a preliminary study.
Conventional endotracheal pediatric tubes offer high resistance due to their small diameters and relatively high flow during ventilation. Any increase of the diameter of the tube lumen decreases the airway resistance and subsequently, the work of breathing (WOB). We compared ventilation mechanics using a new, cone-shaped endotracheal tube of our design to the Cole and standard tubes. ⋯ The cone tube offers lower resistance to gas flow than the standard, used nowadays in clinical practice. It can be especially beneficial to spontaneously breathing patients reducing WOB and improving gas exchange.
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Paediatric anaesthesia · May 2013
Procedural pain in neonates: the state of the art in the implementation of national guidelines in Italy.
National and international guidelines have been published on pain control and prevention in the newborn, but data on compliance with these guidelines are lacking. ⋯ This survey showed that most Italian NICUs provide some form of analgesia and sedation for invasive procedures in accordance with national guidelines, but their routine adherence to best practices for pain control and monitoring is still suboptimal.