Paediatric anaesthesia
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Paediatric anaesthesia · Aug 2011
Intraoperative glycemic control without insulin infusion during pediatric cardiac surgery for congenital heart disease.
Many studies are reporting that the occurrence of hyperglycemia in the postoperative period is associated with increased morbidity and mortality rates in children after cardiac surgery for congenital heart disease. This study sought to determine blood glucose levels in standard pediatric cardiac anesthesiological management without insulin infusions. ⋯ A conventional (no insulin, no glucose) anesthetic management seems sufficient in the vast majority of patients (96.5%). Special attention should be paid to small neonates with complex congenital heart surgery, in whom insulin treatment may be contemplated.
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Paediatric anaesthesia · Aug 2011
Intra- and inter-observer reliability using a noninvasive ultrasound cardiac output monitor in healthy anesthetized children.
Accurate and reliable evaluation of cardiac index (CI) in critically ill pediatric patients can optimize their management. Although validated, noninvasive ultrasound measurement techniques have been previously shown to be unreliable because of observer variability. ⋯ This study confirms that the USCOM(®) is relatively easy to use and reliable in healthy children when operated by trained users.