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 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.