Paediatric anaesthesia
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Paediatric anaesthesia · Dec 2004
Randomized Controlled Trial Comparative Study Clinical TrialA randomized, double-blind comparison study of EMLA and ELA-Max for topical anesthesia in children undergoing intravenous insertion.
Topical anesthetics may help reduce discomfort associated with procedures involving needle-puncture, such as intravenous (i.v.) insertions, in children. EMLA cream has become a common, noninvasive therapy for topical anesthesia in children. ELA-Max is a recently introduced topical anesthetic cream marketed as being as effective in producing topical anesthesia after a 30-min application as EMLA is after a 60-min application. The purpose of this research was to compare ELA-Max at 30 min with EMLA at 60 min for providing topical anesthesia for i.v. insertions in children. ⋯ Results from this study support the claim that a 30-min application of ELA-Max (with occlusion) is as effective as a 60-min application of EMLA (with occlusion) for producing topical anesthesia for i.v. insertion in children.
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Paediatric anaesthesia · Dec 2004
Case ReportsAnesthetic management of the complications of previously undiagnosed ingested foreign body in a pediatric patient.
A case of a previously undiagnosed ingested foreign body, subsequent acquired tracheoesophageal fistula and airway obstruction in a pediatric patient is described. We suggest that the capability to provide cardiopulmonary bypass was a key factor in this patient's survival.
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Paediatric anaesthesia · Dec 2004
Sonographic imaging of the sciatic nerve and its division in the popliteal fossa in children.
High resolution ultrasound is a possible option for anesthetists to detect nerves. We tested the possibility of imaging the sciatic nerve and its division into the tibial and peroneal part using high resolution ultrasound in children. ⋯ Ultrasound opens a window to detect the anatomy of the sciatic nerve in children. In addition, the surrounding anatomical structures can also be depicted. The results suggest a possibility of safe placement of a cannula for blockade of the sciatic nerve under visual control.
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Paediatric anaesthesia · Dec 2004
Clinical signs of infection during continuous postoperative epidural analgesia in children: the value of catheter tip culture.
Infection arising from the use of epidural catheters for postoperative analgesia is a major source of anxiety. ⋯ Minor local signs of inflammation and infection are common in pediatric patients during continuous epidural infusion. Epidural catheter tips are also frequently culture positive in patients with and without local signs and who may not go on to develop further signs or symptoms of infection. Routine culture of catheter tips is unnecessary as it is not a good predictor of epidural space infection.