Paediatric anaesthesia
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Paediatric anaesthesia · Dec 2010
Randomized Controlled Trial Comparative StudyComparison of Bullard laryngoscope and short-handled Macintosh laryngoscope for orotracheal intubation in pediatric patients with simulated restriction of cervical spine movements.
To compare time to intubation, time to optimal laryngoscopy, best laryngeal view, and success rate of intubation with pediatric Bullard laryngoscope and short-handled Macintosh laryngoscope in children being intubated with neck stabilization. ⋯ Laryngoscopy and intubation is faster using a short-handled Macintosh laryngoscope with a higher success rate compared to pediatric Bullard laryngoscope in pediatric patients when manual inline stabilization is applied.
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Paediatric anaesthesia · Dec 2010
Randomized Controlled TrialPressure vs. volume control ventilation: effects on gastric insufflation with size-1 LMA.
In this randomized prospective study, peak airway pressure (PAP) and gastric insufflation were compared between volume control ventilation (VCV) and pressure control ventilation (PCV) using size-1 laryngeal mask airway (LMA) in babies weighing 2.5-5 kg. ⋯ In conclusion, PCV should be the preferred mode to provide positive pressure ventilatio (PPV), when using the size-1 cLMA in babies weighing 2.5-5 kg, in view of less gastric insufflation associated with it for surgeries of brief duration. More studies are required to validate the clinical significance of these two modes of ventilation in longer procedures, in this subpopulation.
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Paediatric anaesthesia · Dec 2010
Perioperative opioid requirements are decreased in hypoxic children living at altitude.
To investigate the effect of altitude on perioperative opioid requirements in otherwise healthy children. ⋯ Opioid administration was reduced in otherwise healthy children with altitude-induced chronic hypoxia when compared to non-hypoxic children undergoing similar operations under similar anesthetic regimens. Whether this difference is due to altitude or altitude-induced hypoxia, requires further study.
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Paediatric anaesthesia · Dec 2010
Airway management in pediatric patients undergoing suspension laryngoscopic surgery for severe laryngeal obstruction caused by papillomatosis.
To review perioperative airway management and ventilation strategy during the surgical removal of papilloma under suspension laryngoscopy in pediatric patients with severe airway obstruction. ⋯ Key points of perioperative airway management in pediatric patients with papillomatosis-induced severe laryngeal obstruction include careful preoperative airway evaluation; the proper choice of induction methods, and ET tube size; maintenance of an adequate depth of anesthesia; and flexible ventilation strategy, continuous and close monitoring during the extubation and postextubation period; and prompt management of adverse events.
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Paediatric anaesthesia · Dec 2010
Comment Letter Case ReportsResponse to Anesthetic management of a rare case of Shprintzen-Goldberg craniosynostosis syndrome.