Paediatric anaesthesia
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Paediatric anaesthesia · Jul 2008
Feasibility of ultrasound-guided peripheral nerve block catheters for pain control on pediatric medical missions in developing countries.
Continuous peripheral nerve blocks (CPNB) are effective for postoperative pain management in children in the hospital and at home. CPNB techniques are particularly advantageous when compared with systemic or oral opioids on medical missions to unfamiliar environments with minimal monitoring capacity. In addition, ultrasound-guidance facilitates the placement of perineural catheters in anesthetized children even in the absence of commercially packaged regional anesthesia equipment. We present a series of successful cases employing ultrasound-guided CPNB for postoperative analgesia on medical missions and discuss the impact of this technology on present and future patients in underserved countries.
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Paediatric anaesthesia · Jul 2008
Wet forced-air warming blankets are ineffective at maintaining normothermia.
Forced-air warming systems have proven effective in preventing perioperative hypothermia. To date, reported adverse events relate primarily to overheating and thermal injuries. This study uses a simple model to show that forced-air warming blankets become ineffective if they get wet. ⋯ A wet forced-air warming blanket is ineffective at maintaining normothermia. Once wet, the warming blanket resulted in cooling similar to the control group.
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Paediatric anaesthesia · Jul 2008
A new formula of age-related anatomical landmarks for blockade of the sciatic nerve in the popliteal fossa in children using the posterior approach.
Anatomical landmarks for sciatic nerve blockade are poorly described in children. In adults, the site of puncture of the high approach is located at least 10 cm above the popliteal skin crease. ⋯ These simple landmarks adapted to children age are expected to help the clinicians to perform safely sciatic blocks at the popliteal fossa in young patients.
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Paediatric anaesthesia · Jul 2008
Single injection paravertebral block for renal surgery in children.
Continuous paravertebral block (PVB) has been successfully used for postoperative analgesia in children. However, data regarding the efficacy of a single injection technique for major renal surgery are still lacking. ⋯ Single injection PVB provided clinically relevant postoperative analgesia in children undergoing major renal surgery.
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Paediatric anaesthesia · Jul 2008
Letter Case ReportsBrachial plexus block for the child with Kartagener's syndrome.