Paediatric anaesthesia
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Paediatric anaesthesia · Nov 2010
Experience with a propofol-ketamine mixture for sedation during pediatric orthopedic surgery.
Various combinations of propofol and ketofol have been described for the provision of procedural sedation in both adults and children. Utilization of 'ketofol' for deep sedation during prolonged pediatric orthopedic procedures has not previously been described. ⋯ Ketofol successfully produced deep sedation for prolonged pediatric orthopedic procedures in conjunction with regional analgesia. Further research to confirm its safety and applicability to a wider range of settings is required.
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Paediatric anaesthesia · Nov 2010
Cannot ventilate-cannot intubate an infant: surgical tracheotomy or transtracheal cannula?
An unanticipated difficult airway is very uncommon in infants. The recommendations for managing the cannot ventilate-cannot intubate (CVCI) situation in infants and small children are based on difficult airway algorithms for adults. These algorithms usually recommend placement of a transtracheal cannula or performing a surgical tracheotomy as a last resort. In this study, we compared the success rate and time used for inserting a transtracheal cannula vs performing a modified surgical tracheotomy in a piglet model. ⋯ We found placement of a transtracheal cannula to be significantly less successful than the modified surgical tracheotomy in a piglet model. We question whether placement of a transtracheal cannula should be recommended in infants in a cannot ventilate-cannot intubate situation.
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Paediatric anaesthesia · Nov 2010
Letter Case ReportsAnother cause of hypercapnia during induction of anesthesia.