Paediatric anaesthesia
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Paediatric anaesthesia · May 2009
ReviewThe efficacy and effect of opioid analgesia in undifferentiated abdominal pain in children: a review of four studies.
The question of whether opioid analgesia should be given in patients with undifferentiated acute abdominal pain has been characterized by concerns about its efficacy and that signs used to determine accurate diagnosis may be masked by the drug. The objective of this review is to critically analyze pertinent pediatric randomized controlled studies considering this issue. ⋯ A large, probably multi-centred trial is needed to answer with sufficient power the question of whether opioid analgesia impairs diagnostic accuracy in children with undifferentiated acute abdominal pain.
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Paediatric anaesthesia · May 2009
ReviewTranscutaneous carbon dioxide monitoring in infants and children.
To review the technology required for and the applications of transcutaneous carbon dioxide (TC-CO2) monitoring in infants and children. ⋯ Transcutaneous carbon dioxide monitoring may be a useful adjunct in various clinical scenarios in infants and children. It should be viewed as a complimentary technology and may be used in combination with ET-CO2 monitoring.
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Paediatric anaesthesia · May 2009
Intraoperative opioid dosing in children with and without cerebral palsy.
To describe the differences in intraoperative opioid dosing and associated outcomes in children with and without cerebral palsy (CP). ⋯ Similar to prior research on children with cognitive impairment, a reduction in intraoperative opioid dosing was found in children with CP. Given the discrepant doses of intraoperative opioid between groups, it is unclear whether children with CP are at any greater risk for untoward opioid-related events.