Paediatric anaesthesia
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Paediatric anaesthesia · Oct 2005
Randomized Controlled TrialRemifentanil versus fentanyl for short-term analgesia-based sedation in mechanically ventilated postoperative children.
Analgesia-based sedation techniques are becoming more established in the intensive care unit (ICU) setting. The aim of this study was to compare remifentanil and fentanyl infusions for postoperative analgesia in pediatric ICU patients. ⋯ We conclude that a remifentanil infusion provides clinically comparable analgesia with a fentanyl infusion in mechanically ventilated postoperative pediatric patients. These two drugs are suitable for short-term analgesia-based sedation in pediatric postoperative ICU patients.
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Paediatric anaesthesia · Oct 2005
Randomized Controlled Trial Comparative StudyThe comparative effect of single dose mivacurium during sevoflurane or propofol anesthesia in children.
We aimed to randomly compare intubating conditions, recovery characteristics and neuromuscular effects of single dose of mivacurium (0.2 mg.kg(-1)) during sevoflurane vs. propofol anesthesia in 60 healthy children, undergoing inguinal surgery. ⋯ Our results indicate that when compared with propofol group, the sevoflurane group had an accelerated onset and a delayed recovery of neuromuscular block induced by mivacurium in children.
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Paediatric anaesthesia · Oct 2005
Randomized Controlled Trial Comparative StudyA comparison of three methods for estimating appropriate tracheal tube depth in children.
Estimating appropriate tracheal tube (TT) depth following tracheal intubation in infants and children presents a challenge to anesthesia practitioners. We evaluated three methods commonly used by anesthesiologists to determine which one most reliably results in appropriate positioning. ⋯ Deliberate mainstem intubation most reliably results in appropriate TT depth in infants and children.
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Paediatric anaesthesia · Oct 2005
Randomized Controlled Trial Comparative StudyCentral venous catheterization in infants and children--small caliber audio-Doppler probe versus ultrasound scanner.
Ultrasound guidance for cannulation of the internal jugular vein has been shown to increase the success rate and reduce the incidence of complications in infants and children. We compared the use of a small caliber audio-Doppler probe with an ultrasound scanner for cannulation of a central venous (CV) line via the right internal jugular vein in infants and children. ⋯ We conclude that application of both the audio-Doppler and the ultrasound scanner is useful in children over 1 year of age for access to the internal jugular vein. However, in infants and neonates, the ultrasound scanner would be more useful than the audio-Doppler.
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Paediatric anaesthesia · Oct 2005
Randomized Controlled TrialFacilitating coping behavior in children prior to dental general anesthesia: a randomized controlled trial.
The aim of this study was to establish the efficacy of two different preparation packages, a paper-based cartoon and an interactive computer, at facilitating coping behavior in children undergoing dental general anesthetic (DGA) tooth extraction. ⋯ The computer preparation package facilitated coping behavior in children undergoing DGA induction.