Paediatric anaesthesia
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Paediatric anaesthesia · Jul 2005
Case ReportsDelayed onset refractory dystonic movements following propofol anesthesia.
Neuroexcitation is an uncommon but well recognized side effect of propofol anesthesia and sedation. We present a patient who, despite an intact mental status and without any preexisting movement disorder, experienced delayed onset of involuntary dystonic movements involving head, neck and shoulder for 11 h following emergence from propofol/nitrous oxide anesthesia.
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Paediatric anaesthesia · Jul 2005
Case ReportsProlonged infusion of dexmedetomidine for sedation following tracheal resection.
Dexmedetomidine is a centrally acting alpha-2 adrenergic agonist that is currently approved by the US Food and Drug Administration for short-term use (< or = 24 h) to provide sedation in adults in the ICU. This drug has been shown to be efficacious in adult medical and surgical patients in providing sedation, anxiolysis, and analgesia. ⋯ To date, there are few publications of the use of this drug in children, and prolonged infusion has not been described. We report our use of dexmedetomidine in a child during a 4-day period of mechanical ventilation following tracheal reconstruction for subglottic stenosis.
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Paediatric anaesthesia · Jul 2005
A survey of the use of capnography for the confirmation of correct placement of tracheal tubes in pediatric intensive care units in the UK.
The Royal College of Anaesthetists and the Association of Anaesthetists of Great Britain and Ireland recommend the use of capnography to ensure correct tracheal tube placement in the theater environment. Correct tracheal tube placement is essential in the care of ventilated patient, even more vital if the patient is critically ill, if serious morbidity and mortality is to be avoided. This survey examined the availability and use of capnography to confirm correct tracheal tube placement in the pediatric intensive care unit (PICU) in the UK. ⋯ The use of capnography to confirm tracheal tube placement may be even more important in the PICU than in adult ICU.
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Paediatric anaesthesia · Jul 2005
Risk factors influencing inadvertent hypothermia in infants and neonates during anesthesia.
The factors affecting the thermal status in neonates and infants undergoing general anesthesia are not yet investigated in detail. We evaluated the factors leading to intraoperative hypothermia in 60 neonates and infants. ⋯ The type of surgery and the OR temperature are the main factors for decrease of the core temperature in neonates and infants. In neonates, the core temperatures are less stable, regardless of OR temperature and type of surgery. In high OR temperature, infants can stabilize their core temperature better than neonates.
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Paediatric anaesthesia · Jul 2005
Case ReportsUse of CobraPLA for airway management in a neonate with Desbuquois syndrome. Case report and anesthetic implications.
We present the anesthetic management of an infant with Desbuquois syndrome (a rare form of micromelic dwarfism) with a possible difficult airway. The anesthetic implications of this syndrome are presented. ⋯ It was easy to insert and provided satisfactory conditions for positive pressure ventilation. The CobraPLA provides another option for airway management.