Paediatric anaesthesia
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Paediatric anaesthesia · Nov 2004
Clinical TrialVertical infraclavicular brachial plexus block in children: a preliminary study.
Brachial plexus blockade is a well-established technique in upper limb surgery. Among the infraclavicular approaches, the vertical infraclavicular brachial plexus (VIP) block is easy to perform and has a large spectrum of nerve blockade. The aim of this preliminary study was to determine the ease, effectiveness, safety, and duration of the VIP block in pediatric trauma surgery. ⋯ In this preliminary study, the VIP block was easy to perform, effective and free of major complications for pediatric trauma surgery. With the doses of ropivacaine we used it was useful for intra- and postoperative analgesia.
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Paediatric anaesthesia · Nov 2004
Case ReportsGeneral anesthesia in an infant with X-linked myotubular myopathy.
We present a 20-week-old infant with the X-linked form of myotubular myopathy who required anesthesia for a Nissen fundoplication procedure where the response to nondepolarizing neuromuscular blockade was evaluated.
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Paediatric anaesthesia · Nov 2004
Continuous ventilation technique for laryngeal mask airway (LMA) removal after fiberoptic intubation in children.
Fiberoptic tracheal intubation through the laryngeal mask airway (LMA) is a simple technique to establish a safe airway in neonates and infants with a difficult airway. The technique, however, is complicated by the removal of the laryngeal mask from the patient's mouth because of the similarity in length of the LMA and the tracheal tube. ⋯ The technique is simple and safe, can be performed without hurry and carries potential advantages for neonates and children with limited cardiorespiratory reserve.
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Paediatric anaesthesia · Nov 2004
Letter Case ReportsAnesthesia for a child with Wolf-Hirshhorn syndrome.
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Paediatric anaesthesia · Oct 2004
Randomized Controlled Trial Clinical TrialPostoperative behavioral changes following anesthesia with sevoflurane.
Behavioral disturbance following hospitalization is a relatively frequent event, some children still having negative behavioral changes (NBC) 1 month following their operation. Sevoflurane has a propensity to induce 'excitement' during induction of anaesthesia, and delirium in the immediate postoperative phase. The aim of this study was to evaluate whether this translates into prolonged behavioral change. ⋯ Children anesthetized with sevoflurane exhibit more immediate postoperative distress than those anesthetized with halothane. This difference is not carried over into the longer posthospital period. Negative behavioral changes occur more frequently with decreasing age.