Paediatric anaesthesia
-
Paediatric anaesthesia · Aug 2007
Case ReportsUnilateral postoperative visual loss due to central retinal artery occlusion following cervical spine surgery in prone position.
Postoperative visual loss following spinal surgery is a rare complication. Although a number of intraoperative and postoperative factors have been implicated exact etiology still may remain unclear. We report a case of unilateral postoperative visual loss in a patient who had undergone prolonged spine surgery in a prone position.
-
Paediatric anaesthesia · Jul 2007
Case ReportsBispectral index monitored balanced anesthesia technique for pheochromocytoma resection.
Balanced anesthesia under bispectral index monitoring was administered to a child undergoing a pheochromocytoma resection. By titration of anesthesia depth, the stress response during resection could be avoided as well as postresection hypotension, without resort to additional pharmacological manipulation.
-
Paediatric anaesthesia · Jul 2007
Current United Kingdom sedation practice in pediatric intensive care.
The aim of this study was to investigate the current practice of sedation, analgesia, and neuromuscular blockade in critically ill children on pediatric intensive care units (PICUs) in the UK and identify areas that merit further study. ⋯ There is considerable heterogeneity of sedation techniques. NMBs are used in a large portion of this population. Withdrawal symptoms were associated with higher doses of sedation and greater lengths of stay and were not ameliorated by withdrawing sedation gradually ('tapering').
-
Paediatric anaesthesia · Jul 2007
Ketamine disposition in children presenting for procedural sedation and analgesia in a children's emergency department.
The aim of this study was to describe ketamine pharmacokinetics in children to simulate time-concentration profiles to predict duration of concentrations associated with anesthesia, arousal and analgesia. ⋯ Ketamine 1 mgxkg(-1) i.v. provides satisfactory serum concentrations for children undergoing sedation for painful procedures of <5-min duration and produces concentrations associated with analgesic effect for more than 10 min. Clearance increases with decreasing age in children. The relationship between serum concentration and effect is poorly defined in children.