Paediatric anaesthesia
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Paediatric anaesthesia · Dec 2004
Case ReportsAirway protection with the ProSeal laryngeal mask airway in a child.
We describe a case where a size 2 ProSeal laryngeal mask airway successfully channelled regurgitated fluid away from the respiratory tract in a 5-year-old child following an inguinal hernia repair.
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Paediatric anaesthesia · Dec 2004
Randomized Controlled Trial Clinical Trial Controlled Clinical TrialOral clonidine does not change ventilatory response to carbon dioxide in sevoflurane-anesthetized children.
Clonidine is a useful premedicant for pediatric anesthesia. The drug has potential for ventilatory depression. The aim of the current study was to determine the effects of clonidine premedication on the ventilatory response to hypercapnia during sevoflurane anesthesia using the carbon dioxide (CO(2)) steady state method. ⋯ These data suggest that oral clonidine is a suitable premedication for sevoflurane anesthesia under spontaneous breathing conditions in children.
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Paediatric anaesthesia · Dec 2004
Comparative Study Clinical TrialTissue oxygenation monitoring during major pediatric surgery using transcutaneous liver near infrared spectroscopy.
The aim of the study was to compare liver tissue oxygenation determined by near infrared spectroscopy (NIRS) with central venous oxygen saturation (SvO(2)) and intestinal perfusion as measured by gastric intramucosal pH (pHi) in pediatric surgical patients. ⋯ TOI(Liver) provided a better trend monitor of central venous oxygen saturation than gastric intramucosal pH. Because of its limited sensitivity and specificity to indicate deterioration of SvO(2), liver tissue oxygenation measured by transcutaneous NIRS does not provide additional practical information for clinical management.
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A 2 year-old boy presented with acute upper airway obstruction following a 15-month history of noisy breathing and hoarseness. An urgent laryngotracheal bronchoscopy was performed following inhalational induction of anesthesia. ⋯ Twelve days later, the tracheostomy was successfully decannulated with the child's voice beginning to normalize. The family remembered the decoration from Christmas celebrations 2 years prior and recalled a coughing episode that predated the onset of hoarseness.
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Paediatric anaesthesia · Dec 2004
Randomized Controlled Trial Comparative Study Clinical TrialThe effect of epidural vs intravenous analgesia for posterior spinal fusion surgery.
The study objective was to compare epidural vs intravenous postoperative analgesia in posterior spinal fusion surgery patients. ⋯ By evaluating morphine sulfate usage between groups, the analgesic effectiveness of continuous thoracic epidural analgesia bupivacaine and fentanyl doses used revealed no significant improvement over intravenous morphine sulfate analgesia alone in patients after posterior spinal fusion surgery.