Paediatric anaesthesia
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Paediatric anaesthesia · Aug 2005
Randomized Controlled Trial Comparative Study Clinical TrialEvaluation of relatively low dose of oral transmucosal ketamine premedication in children: a comparison with oral midazolam.
Oral Transmucosal ketamine (lollipop) has been shown to be an effective, harmless preoperative medication for children. However, its efficacy was not compared with commonly used premedication drugs. We, therefore, compared the efficacy of oral transmucosal ketamine with oral midazolam for premedication in children. ⋯ These results indicate that a relatively low dose of oral transmucosal ketamine premedication provides no benefits over oral midazolam in children.
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Paediatric anaesthesia · Aug 2005
Randomized Controlled Trial Clinical TrialUse of low-dose rocuronium for intubation of children during volunteer surgery abroad.
Low-dose rocuronium (ROC) might improve safety during volunteer surgery abroad (VSA) by facilitating intubation with a lower halothane concentration than is typically used. We hypothesized that 0.25 mg.kg(-1) of ROC would improve intubation conditions during 3% halothane induction and still allow for rapid return to spontaneous ventilation (SV). ⋯ When administering 3% halothane for induction of VSA patients, a high frequency of adequate intubation conditions can be achieved without a relaxant, rendering the known benefits of 0.25 mg.kg(-1) of ROC unapparent. ROC 0.25 mg.kg(-1) does allow rapid return to SV.
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Paediatric anaesthesia · Aug 2005
Randomized Controlled Trial Comparative Study Clinical TrialRandomized trial comparing overnight preoperative fasting period Vs oral administration of apple juice at 06:00-06:30 am in pediatric orthopedic surgical patients.
We aimed to evaluate the efficacy of clear liquids orally administered at 06:00-06:30 am on the morning of surgery to reduce prolonged preoperative fasting periods. ⋯ A 15 ml.kg(-1) of apple juice for patients of <3 years of age or 10 ml.kg(-1) for older children, at 06:00-06:30 am of the surgical morning is a simple procedure to prevent dehydration and to produce positive behavior in low-risk, pediatric surgical patients.
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Paediatric anaesthesia · Jul 2005
Randomized Controlled Trial Clinical TrialGiving parents written information about children's anesthesia: are setting and timing important?
Research indicates that parents wish to receive more information and are anxious about anesthesia prior to their child's surgery. ⋯ Parents have unmet information needs related to children's anesthetic care. Written information may improve parent knowledge and enhance satisfaction, but the setting and timing of information delivery are also important to consider.