Paediatric anaesthesia
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Paediatric anaesthesia · Feb 2005
Ketorolac after congenital heart surgery: does it increase the risk of significant bleeding complications?
The routine use of ketorolac after congenital heart surgery in infants and children is limited by concerns for postoperative bleeding complications. The object of this study was to determine if the use of ketorolac is associated with an increased risk of significant postoperative bleeding after congenital heart surgery in infants and children. ⋯ The use of ketorolac after congenital heart surgery in infants and children does not significantly increase the risk of bleeding complications requiring surgical exploration.
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Paediatric anaesthesia · Feb 2005
The Portex 'Soft Seal' single use laryngeal mask -- a preliminary study in pediatric anesthesia.
Portex have developed a single use pediatric laryngeal mask (LM), which is available in all sizes. ⋯ The Portex 'Soft Seal' LM performs satisfactorily in elective pediatric anesthesia.
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Paediatric anaesthesia · Feb 2005
Case ReportsNesiritide during extracorporeal membrane oxygenation.
Nesiritide is a recombinant formulation of B-type natriuretic peptide (BNP). Preliminary experience in the adult population has shown nesiritide to be an effective agent in the treatment of decompensated congestive heart failure (CHF) in adults. ⋯ In one patient, nesiritide in doses up to 0.09 microg.kg(-1).min(-1) were used to control mean arterial pressure while in the other patient, doses of 0.01-0.03 microg.kg(-1).min(-1) were used to augment urine output. The potential applications of nesiritide and dosing regimens for this agent in the ECMO population are discussed.
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Paediatric anaesthesia · Feb 2005
Case ReportsAutomatic atrial tachycardia in an infant following general anesthesia.
Automatic atrial tachycardia (AAT) is a rare supraventricular tachyarrhythmia (<10% of all supraventricular tachycardias), which can present in infants or young children. There are no published reports of AAT occurring in an infant or child following noncardiac surgery and general anesthesia. This report describes the management of a previously healthy 5-month-old infant, who developed AAT in the postanesthesia care unit following an uneventful circumcision under general anesthesia.