Paediatric anaesthesia
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Paediatric anaesthesia · Oct 2003
Randomized Controlled Trial Clinical TrialLaryngeal mask insertion in children: a rational approach.
Various techniques of laryngeal mask airway (LMATM) insertion have been described in adults but only limited clinical trials have been conducted in children despite a varying range in success rate by the recommended method. ⋯ A partially inflated cuff inserted by the lateral route is a better method of insertion in children and grade 3 fibreoptic views can be associated with a significant build up of carbon dioxide in children breathing spontaneously.
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The aim of this study was to assess whether a noninvasive imaging technique such as ultrasound could visualize an epidural catheter in the epidural space in children. ⋯ This study shows that it is possible to visualize an epidural catheter in the epidural space in children under 6 months of age using ultrasound.
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Paediatric anaesthesia · Oct 2003
Validation of a six-graded faces scale for evaluation of postoperative pain in children.
The faces pain scales are often used for self-report assessment of paediatric pain. The aim of this study was to evaluate the validity of a six-graded faces pain scale after surgery by comparing the level of agreement between the children's report of faces pain scores and experienced nurses' assessment of pain by observation of behaviour. The faces pain scores before, at and after administration of analgesics were analysed. The study was performed in two South African hospitals, one with a mainly rural population and the other with an urban population. ⋯ The findings support this six-graded faces pain scale as a useful and valid instrument for measuring pain in the postoperative period in children aged 4-12 years.