Paediatric anaesthesia
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To determine current practice in the use of pediatric breathing systems in the UK. ⋯ Despite significant improvements to the pediatric circle system and its practical advantages, the T-Piece remains the commonest breathing system used in smaller children by UK members of the APA.
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Paediatric anaesthesia · May 2009
Randomized Controlled Trial Comparative StudyComparison of propofol-fentanyl with propofol-fentanyl-ketamine combination in pediatric patients undergoing interventional radiology procedures.
With an increase in the frequency of interventional radiology procedures in pediatrics, there has been a corresponding increase in demand for procedural sedation to facilitate them. The purpose of our study was to compare the frequency of adverse effects, sedation level, patient recovery characteristics in pediatric patients receiving intravenous propofol fentanyl combination with or without ketamine for interventional radiology procedures. Our main hypothesis was that the addition of ketamine would decrease propofol/fentanyl associated desaturation. ⋯ In conclusion, addition of low dose ketamine to propofol-fentanyl combination decreased the risk of desaturation and it also decreased the need for supplemental propofol dosage in pediatric patients at interventional radiology procedures.
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Paediatric anaesthesia · May 2009
Randomized Controlled TrialTwo different doses of caudal neostigmine co-administered with levobupivacaine produces analgesia in children.
This study was aimed to evaluate the analgesic efficacy duration of analgesia, and side effects of two different doses of caudal neostigmine used with levobupivacaine in children. ⋯ Caudal neostigmine in doses of 2 and 4 microg.kg(-1) with levobupivacaine extends the duration of analgesia without increasing the incidence of adverse effects, and 2 microg.kg(-1) seems to be the optimal dose, as higher dose has no further advantages.