Paediatric anaesthesia
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Propofol is a well-known drug for adults for total intravenous anaesthesia. Since 1999, the use of propofol has been approved for children less than 3 years of age. However, a suitable dosage scheme for these age groups was not available. The purpose of this study was to describe our clinical experience with the use of a new dosage scheme for propofol in patients under 3 years of age, based on experimental data and known pharmacological principles in children. ⋯ This dosage scheme provides safe and smooth anaesthesia in children less than 3 years of age and is therefore a useful tool for a TIVA technique in small children.
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Paediatric anaesthesia · Jun 2004
Randomized Controlled Trial Comparative Study Clinical TrialComparison of ropivacaine with bupivacaine and lidocaine for ilioinguinal block after ambulatory inguinal hernia repair in children.
We have compared ropivacaine with bupivacaine and lidocaine for ilioinguinal block in thirty children undergoing ambulatory inguinal hernia repair. ⋯ We have confirmed that bupivacaine and ropivacaine are more effective than lidocaine in the prevention of postoperative pain after children's inguinal hernia repair. We suggest that ropivacaine 0.2% is an alternative to bupivacaine 0.25% for ilioinguinal block in ambulatory paediatric surgery.
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Paediatric anaesthesia · Jun 2004
Randomized Controlled Trial Clinical TrialOral ketamine premedication can prevent emergence agitation in children after desflurane anaesthesia.
The purpose of the present study was to determine whether oral ketamine premedication affected the incidence of emergence agitation in children. ⋯ Oral ketamine premedication reduced the incidence of postanaesthesia emergence agitation in children without delaying recovery.
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Paediatric anaesthesia · Jun 2004
Randomized Controlled Trial Comparative Study Clinical TrialA comparison between single- and double-breath vital capacity inhalation induction with 8% sevoflurane in children.
This study was conducted to determine if a double-breath (DB) vital capacity (VC) rapid inhalation induction using immediate high-inspired concentration of sevoflurane is as well tolerated as a single-breath (SB) technique and if it results in a shorter induction time. ⋯ Double-breath VC inhalation induction with 8% sevoflurane is as well tolerated as a SB technique and results in a faster onset of anaesthesia.