Paediatric anaesthesia
-
Paediatric anaesthesia · Aug 2010
Randomized Controlled TrialSevoflurane for central catheter placement in neonatal intensive care: a randomized trial.
To compare the efficacy and safety of sevoflurane deep sedation with glucose and nonnutritive sucking (GNNS) in reducing the duration of the procedure and in preventing pain-related effects during peripherally inserted central catheter (PICC) placement. ⋯ Inhaled sevoflurane does not make easier catheters placement but prevent pain-related symptoms. Because sevoflurane is responsible for hypotension, it requires careful monitoring and treatment adaptation.
-
Paediatric anaesthesia · Aug 2010
Comparative StudyA comparison of emergence delirium scales following general anesthesia in children.
Emergence delirium (ED) is of increasing interest since the introduction of short-acting volatiles such as sevoflurane. ⋯ All three scales correlated reasonably well with each other but have individual limitations in their potential to assess whether ED is present. In the absence of developing an improved research tool to assess ED, a PAED score >12 appears to provide greater sensitivity and specificity than a PAED score > or =10. However, the Watcha scale is a simpler tool to use in clinical practice and may have a higher overall sensitivity and specificity than the other scales.
-
Paediatric anaesthesia · Aug 2010
Pediatric anesthesia in developing countries: experience in the two main university hospitals of Benin in West Africa.
To describe the practice of pediatric anesthesia in the main University Hospitals in Benin. ⋯ Pediatric anesthesia in the two University Hospitals is far from satisfactory. Morbidity and mortality are unacceptably high. Suggestions are made to improve the safety of children undergoing anesthesia.
-
Paediatric anaesthesia · Aug 2010
Supplementing desflurane with intravenous anesthesia reduces fetal cardiac dysfunction during open fetal surgery.
To lower the incidence and severity of fetal cardiovascular depression during maternal fetal surgery under general anesthesia. ⋯ SIVA as described provides adequate maternal anesthesia and uterine relaxation, and it allows for decreased use of desflurane during open fetal surgery. Decreased use of desflurane may better preserve fetal cardiac function.