Paediatric anaesthesia
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Paediatric anaesthesia · May 2006
Case ReportsTransient loss of motor-evoked responses associated with caudal injection of morphine in a patient with spondylolisthesis undergoing spinal fusion.
A 7-year-old girl having posterior spinal fusion for Grade 3 anterior spondylolisthesis at the L5/S1 level was administered 2.5 mg of morphine in 10 ml saline via the caudal epidural route before surgery. Motor-evoked responses were markedly diminished in her lower limbs for 1 h following this but returned spontaneously. She suffered no neurological injury. ⋯ This complication of caudal injection has not been reported before. The possible mechanisms for this are discussed. We believe that significant L5/S1 spondylolisthesis should be considered a contraindication to the use of caudal epidural injections.
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Paediatric anaesthesia · May 2006
Case ReportsComplete upper airway obstruction after induction of anesthesia in a child with undiagnosed lingual tonsil hypertrophy.
We present a case of a 9-year-old patient with previously undiagnosed lingual tonsil hypertrophy (LTH) that caused sudden and complete airway obstruction and inability to ventilate on induction of anesthesia. More frequently described in adults than in children, LTH can complicate mask ventilation, intubation or both, with the potential for catastrophic consequences.
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Paediatric anaesthesia · May 2006
Letter Randomized Controlled Trial Comparative StudyThe rotational technique with ProSeal laryngeal mask airway does not improve the ease of insertion in children.
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Paediatric anaesthesia · May 2006
Randomized Controlled TrialClonidine for the prevention of emergence agitation in young children: efficacy and recovery profile.
Emergence agitation (EA) is a common postoperative problem in young children who have received sevoflurane and isoflurane for general anesthesia. This randomized, double-blinded study evaluated the efficacy of intraoperative clonidine in reducing EA, and describes its recovery profile. ⋯ Findings demonstrate that i.v. clonidine administered after induction of anesthesia significantly reduces the incidence of EA in young children, but is associated with sleepiness postoperatively.