Paediatric anaesthesia
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Paediatric anaesthesia · Feb 2013
Randomized Controlled Trial Comparative StudyA randomized equivalence trial comparing the i-gel and laryngeal mask airway Supreme in children.
The laryngeal mask airway Supreme (Supreme) is a new single-use supraglottic device with gastric access capability now available in all sizes for children. ⋯ In infants and children, when a single-use supraglottic device with gastric access capabilities is required, the i-gel demonstrated higher airway leak pressures and can be a useful alternative to the Supreme.
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Paediatric anaesthesia · Feb 2013
Randomized Controlled TrialA psychological preoperative program: effects on anxiety and cooperative behaviors.
To evaluate the effectiveness of a psychological preoperative program in reducing preoperative anxiety and in promoting compliance of pediatric participants with surgical procedures. ⋯ Preparing children through playful dramatization of the operative procedure, manipulation of medical instruments and psychologist's support may be useful in pediatric surgery structures.
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Paediatric anaesthesia · Feb 2013
Case ReportsMeningococcemia and heparin-induced thrombocytopenia: a dangerous combination.
We present a dramatic case of a patient presenting with disseminated intravascular coagulation related to meningococcal sepsis who developed heparin-induced thrombocytopenia following heparin administration during continuous renal replacement therapy. Association of these two prothrombotic conditions led to severe limbs ischemia and finally to bilateral legs amputation. We stress the importance of suspect heparin-induced thrombocytopenia in intensive care unit patients, especially when an improvement of other coagulation parameters is observed, and heparin therapy was started.
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Paediatric anaesthesia · Feb 2013
Endoscopic airway findings in children with or without prior endotracheal intubation.
Airway alterations found after endotracheal intubation are usually associated with mechanical trauma from the tube. However, no studies are available concerning alterations in airways that have never been intubated before. It was the aim of the study to compare endoscopic findings in the larynx and trachea of children who had undergone prior endotracheal intubation with findings in children who had not been intubated before. ⋯ Endoscopic airway alterations can be observed in about one-quarter of children presenting for routine surgery without prior intubation. Except for glottic granulomas, the abnormalities are found with similar frequency in patients with and without prior intubation. No relevant airway damage from short-term endotracheal intubation was found.