Paediatric anaesthesia
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Paediatric anaesthesia · Oct 2011
Randomized Controlled TrialKetamine as an adjunct to fentanyl improves postoperative analgesia and hastens discharge in children following tonsillectomy - a prospective, double-blinded, randomized study.
To evaluate the effect of ketamine, as an adjunct to fentanyl, on postoperative analgesia and duration of Postoperative Care Unit (PACU) stay, in children undergoing tonsillectomy. ⋯ We conclude that the administration of ketamine 0.5 mg·kg(-1) with 1 mcg·kg(-1) fentanyl in children undergoing tonsillectomy may improve postoperative pain control without delaying home discharge.
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Paediatric anaesthesia · Oct 2011
Randomized Controlled TrialInsertion of laryngeal mask airway does not increase the intraocular pressure in children with glaucoma.
It is hypothesized that in children with glaucoma, the insertion of laryngeal mask airway (LMA) will cause lesser rise in intraocular pressure (IOP) than tracheal tube (TT). ⋯ Insertion of LMA in glaucomatous children is not associated with an increased IOP response or cardiovascular changes.
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Paediatric anaesthesia · Oct 2011
Randomized Controlled TrialThe effect of timing and temperature of oral fluids ingested after minor surgery in preschool children on vomiting: a prospective, randomized, clinical study.
The time at which children should resume oral intake after surgery is controversial. No information has been published about the relationship between postoperative vomiting and the temperature of the fluid ingested. This study was designed to analyze the effect on postoperative vomiting of the timing and temperature of the fluids ingested in the first oral intake. ⋯ A first oral intake in children 1 h after anesthesia for minor surgery seems not to increase the incidence of vomiting as long as the ingested fluid is at body temperature.
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Paediatric anaesthesia · Oct 2011
Randomized Controlled TrialThe perioperative dialogue reduces postoperative stress in children undergoing day surgery as confirmed by salivary cortisol.
To evaluate the efficacy of 'the perioperative dialogue (PD)' by analyzing salivary cortisol, in 5- to 11-year-old children undergoing day surgery. ⋯ The PD's caring, continuity, and on-going dialogues were associated with low concentrations of salivary cortisol postoperatively and reduced morphine consumption and thus appears to be a valuable complement to standard perioperative care in children undergoing day surgery.