Paediatric anaesthesia
-
Paediatric anaesthesia · Apr 2004
Randomized Controlled Trial Comparative Study Clinical TrialComparison of caudal vs intravenous tramadol administered either preoperatively or postoperatively for pain relief in boys.
In this study we compared caudal with intravenous (i.v.) tramadol given pre- or postoperatively for pain relief in boys having hypospadias repair. ⋯ Caudal tramadol provides better and longer lasting postoperative analgesia than i.v. tramadol. These results also suggest that preoperative caudal tramadol did not provide any clinically perceptible benefits compared with postoperative caudal tramadol.
-
The aim of the study was the evaluation of the effect of methohexital during chest tube removal (CTR) in neonates. ⋯ Administration of methohexital for CTR resulted in adequate sedation and relaxation without major side effects in neonates. This approach should be compared with other strategies.
-
LEOPARD syndrome is a neuroectodermal disorder presumed to result from an abnormality in neural crest cells. The acronym 'LEOPARD' is derived from the clinical features which include multiple lentigines, electrocardiographic abnormalities, ocular hypertelorism, pulmonary stenosis, abnormal genitalia, retarded growth, and deafness. ⋯ The authors present a 4-year old boy who presented for anaesthetic care for repair of a ventricular septal defect and pulmonary valvotomy for congenital pulmonary stenosis. The potential perioperative implications of LEOPARD syndrome are discussed.
-
Paediatric anaesthesia · Apr 2004
Gastric insufflation pressure, air leakage and respiratory mechanics in the use of the laryngeal mask airway (LMA) in children.
The objective of the present study was to evaluate the prelaryngeal position of the laryngeal mask airway (LMA(TM)) in children, and to determine the influence of mask positioning on gastric insufflation and oropharyngeal air leakage. ⋯ Clinically undetected LMA malpositioning is a significant risk factor for gastric air insufflation in children between 3 and 11 years, undergoing positive pressure ventilation, especially at inspiratory airway pressures above 17 cmH(2)O.