Paediatric anaesthesia
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Paediatric anaesthesia · Oct 2010
Randomized Controlled TrialParental presence, clowns or sedative premedication to treat preoperative anxiety in children: what could be the most promising option?
A significant number of children undergo surgery experience high levels of anxiety in the presurgical period. The aim of this study is to investigate which intervention is more effective in reducing preoperative anxiety. ⋯ PPIA+clown intervention is more effective in reducing anxiety in children during the preoperative period than PPIA alone or PPIA+oral midazolam.
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Paediatric anaesthesia · Oct 2010
Randomized Controlled TrialDoes ultrasound guidance improve the efficacy of dorsal penile nerve block in children?
Penile nerve block (PNB) is a well-established technique used for circumcision; it requires the injection of local anesthetics close to the dorsal nerve of the penis. The goal of this study was to compare the efficacy of ultrasound-guided PNB versus the classical landmark-based technique (LBT) in children undergoing circumcision. ⋯ Ultrasound-guided PNB improved the efficacy of the block compared with the LBT in terms of the postoperative pain during the first postoperative hour and the time to the first requirement for postoperative analgesia.
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Paediatric anaesthesia · Oct 2010
Case ReportsChildren with spinal dysraphism: transversus abdominis plane (TAP) catheters to the rescue!
Transversus abdominis plane (TAP) block catheters may offer an alternative to a central neuraxial blockade for patients undergoing major abdominal surgery (Paediatr Anaesth 19: 2009; 296). This case series consists of two children with spinal dysraphism in whom bilateral TAP block catheters were placed for postoperative pain relief. Administration of low dose, low concentration local anesthetic provided both children with excellent postoperative analgesia.
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Paediatric anaesthesia · Oct 2010
Case ReportsSuccessful resuscitation of bupivacaine-induced cardiotoxicity in a neonate.
We report a case of bupivacaine-induced cardiotoxicity in a neonate following caudal epidural block under general anesthesia for urologic surgery. Prompt recognition of the complication allowed early intervention with both standard resuscitative measures and administration of 20% Intralipid(®) , resulting in a good outcome.