Paediatric anaesthesia
-
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.
-
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.
-
Paediatric anaesthesia · Nov 2004
Letter Case ReportsAnesthesia for a child with Wolf-Hirshhorn syndrome.
-
Paediatric anaesthesia · Oct 2004
Randomized Controlled Trial Clinical TrialRemifentanil vs fentanyl/morphine for pain and stress control during pediatric cardiac surgery.
Remifentanil is a short acting, potent synthetic opioid that does not accumulate after infusion or repeated bolus doses. It may be rapidly titrated to the requirements of individual patients. Titrated infusion of remifentanil may be able to provide potent analgesia required for pediatric cardiac surgery and obtund the stress response in theater whilst not having the persistent respiratory depression and sedation seen with longer acting opioids. ⋯ The only significant difference was in glucose in the postbypass time periods. Although statistically significant, this difference is insufficient evidence of increased stress in the remifentanil group. The results show that in the patients studied there was no clinically important difference between the two techniques.