Paediatric anaesthesia
-
Paediatric anaesthesia · Jan 2006
Randomized Controlled TrialA prospective randomized blinded study of the effect of intravenous fluid therapy on postoperative nausea and vomiting in children undergoing strabismus surgery.
Nausea and vomiting is a common postoperative complication that often necessitates the use of antiemetic agents. ⋯ Intravenous superhydration administration is an inexpensive and safe therapy for reducing postoperative nausea and vomiting and discomfort.
-
Paediatric anaesthesia · Jan 2006
Randomized Controlled Trial Comparative StudyTramadol for pain relief in children undergoing herniotomy: a comparison with ilioinguinal and iliohypogastric blocks.
Prevention of postoperative pain in children is one of the most important objectives of the anesthesiologist. Preoperative ilioinguinal and iliohypogastric nerve blocks have been widely used to provide analgesia in children undergoing herniorrhaphy. Tramadol is an analgesic with micro-opioid and nonopioid activity. In this study we compared the usage of intravenous tramadol with ilioinguinal and iliohypogastric nerve blocks for control of post-herniorrhaphy pain in children aged 2-7 years. ⋯ We concluded that tramadol can have at least the same analgesic effect as that of ilioinguinal and iliohypogastric nerve blocks for post-herniorrhaphy pain in children, with even a superior effect at the time of maximal analgesia. We also highlight the troublesome side-effect of nausea and vomiting which brings into question the benefits of using this opioid that seems to lack respiratory depression.
-
Paediatric anaesthesia · Jan 2006
Spinal anesthesia in children with isobaric local anesthetics: report on 307 patients under 13 years of age.
Spinal anesthesia in expert hands is an excellent method for children for appropriate surgery. The aim of this study was to evaluate the effects of spinal anesthesia with isobaric solutions in 307 consecutive cases from May 2001 to August 2002. ⋯ Spinal anesthesia continues to gain acceptance as an alternative to general anesthesia in children. There has also been an increased use of spinal anesthesia for other surgical procedures including lower extremity orthopedic procedures as well as specific surgery procedures above the umbilicus and in patients past the neonatal period. Spinal anesthesia in children is a special method suitable for use only by anesthesiologists, expert in administering spinal anesthesia for adults. It was 54% less than the cost of general anesthesia.
-
Paediatric anaesthesia · Jan 2006
Case ReportsTorsade de pointes during sevoflurane anesthesia in a child with congenital long QT syndrome.
We present a case of congenital long QT syndrome which developed torsade de pointes during sevoflurane anesthesia for implantation of an internal cardioverter-defibrillator. The diagnosis, implications and treatment are discussed.
-
Paediatric anaesthesia · Jan 2006
Cuff filling volumes and pressures in pediatric laryngeal mask airways.
Hyperinflation of LMA cuffs carries the risk of airway morbidity by exerting pressure on laryngeal and pharyngeal structures. Cuff hyperinflation in LMAs can result from nitrous oxide diffusion into the LMA cuff and from deliberate manual cuff inflation. ⋯ Since the volume of air which is effectively required depends on several factors and varies between patients, the cuffs should be inflated only with the minimum volume of air required to form an effective seal with the respiratory and gastrointestinal tracts and the cuff pressure should be controlled.