Paediatric anaesthesia
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Paediatric anaesthesia · Apr 2008
Randomized Controlled Trial Comparative StudyLaryngeal mask airway insertion in children: comparison between rotational, lateral and standard technique.
The purpose of the study was to compare the success and ease of insertion of three techniques of laryngeal mask airway (LMA) insertion; the standard Brain technique, a lateral technique with cuff partially inflated and a rotational technique with cuff partially inflated. ⋯ A rotational technique with partially inflated cuff is associated with the highest success rate of insertion and lowest incidence of complications and could be the technique of first choice for LMA insertion in pediatric patients.
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Paediatric anaesthesia · Apr 2008
ReviewLaryngospasm: review of different prevention and treatment modalities.
Laryngospasm is a common complication in pediatric anesthesia. In the majority of cases, laryngospasm is self-limiting. However, sometimes laryngospasm persists and if not appropriately treated, it may result in serious complications that may be life-threatening. The present review discusses laryngospasm with the emphasis on the different prevention and treatment modalities.
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Paediatric anaesthesia · Apr 2008
Randomized Controlled Trial Comparative StudyComparison of the CobraPLA (Cobra Perilaryngeal Airway) and the Laryngeal Mask Airway Unique in children under pressure controlled ventilation.
The Laryngeal Mask Airway-Unique (LMAU) and CobraPLA (Cobra Perilaryngeal Airway) are supraglottic airway devices. There are no published studies comparing these devices in children breathing with pressure controlled ventilation (PCV). ⋯ Both devices appear to be safe and effective in establishing an adequate airway in healthy children undergoing surgery of short duration with PCV.
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Paediatric anaesthesia · Apr 2008
Intervention steps for treating laryngospasm in pediatric patients.
Laryngospasm, a potentially life-threatening complication of anesthesia, is reported more commonly in children (17.4/1000) than in the general population (8.7/1000). However, there are no clinical data on the optimal type and sequence of therapeutic interventions. We therefore characterized the interventions used at St. Jude Children's Research Hospital. ⋯ In the largest single-institution study to date of laryngospasm in pediatric patients, we found a rate of 1/1000 cases. Treatment followed a basic algorithm comprising continuous positive airway pressure, deepening of anesthesia, muscle relaxation and tracheal intubation.