Paediatric anaesthesia
-
Paediatric anaesthesia · Oct 2006
Case ReportsRepeat episodes of severe muscle rigidity in a child receiving sevoflurane.
We report on a patient who developed two episodes of severe muscle rigidity, increased endtidal CO2 and increased creatine phosphate kinase associated with sevoflurane anesthesia. Dysrhythmias and hyperthermia were not observed and dantrolene was not administered. Genetic testing for the 17 known mutations associated with malignant hyperthermia (MH) was negative. Although we cannot rule out MH or other neuromuscular diseases we suggest that this rare event may be a direct effect of sevoflurane.
-
Paediatric anaesthesia · Oct 2006
Review Historical ArticleUltrasonographic guidance in pediatric regional anesthesia Part 1: Theoretical background.
Recent findings support the use of ultrasonographic guidance in pediatric regional anesthesia. This review article illustrates basic knowledge in physics of ultrasound and ultrasonographic appearance of neuronal structures, which are prerequisites for the safe application of this technique in daily clinical practice. A critical view on education and ethics in science should emphasize future developments in ultrasonography for pediatric regional anesthesia.
-
Paediatric anaesthesia · Oct 2006
Randomized Controlled TrialThe effect of capsicum plaster in pain after inguinal hernia repair in children.
Capsicum plaster at a classical Chinese acupoint is an alternative to acupuncture, which has been used as a supplemental therapy to opioid analgesics for pain control during the postoperative period. We investigated the postoperative analgesic efficacy of capsicum plaster at Zusanli (ST-36) points after pediatric hernia repair. ⋯ Placement of capsicum plaster at the Zusanli points reduces pain and postoperative opioid consumption in children undergoing inguinal hernia repair, but not in the first six postoperative hours.
-
Paediatric anaesthesia · Oct 2006
Postoperative sleep disturbance in pediatric patients using patient-controlled devices (PCA).
Sleep disturbance has not been well quantified in pediatric postoperative management, yet has broad implications in pain management as well as upon the physical and psychological well-being of the young patient admitted for surgery. We aimed to describe sleep disturbance in this population using patient-controlled analgesia (PCA) and then identify the predictors of disturbed sleep. ⋯ Sleep disruption is common in children-prescribed PCA opioid analgesia. Older children and those receiving a background infusion were observed to experience less sleep. Other proposed predictors were not found to be reliable. Further investigation into the predictors of disturbed sleep in the postoperative patient is warranted.