Paediatric anaesthesia
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Paediatric anaesthesia · Jun 2002
Thoracic epidural catheters placed by the caudal route in infants: the importance of radiographic confirmation.
Cephalad advancement of epidural catheters to the thoracic region via the caudal route has been shown to be feasible in neonates and small infants. This has allowed many young infants to receive thoracic level epidural analgesia with dilute local anaesthetic solutions using the simpler caudal approach. Since radiographic confirmation of the catheter tip is routine at this institution, we wished to determine how often radiographic studies led to adjustment or replacement of the epidural catheter. ⋯ Even in young infants, radiographic determination of the catheter tip appears warranted when thoracic catheters are placed via the caudal route.
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Paediatric anaesthesia · Jun 2002
Comparative StudyAirway management in spontaneously breathing anaesthetized children: comparison of the Laryngeal Mask Airway with the cuffed oropharyngeal airway.
The efficacy and safety of the smallest size of the cuffed oropharyngeal airway (COPA) for school age, spontaneously breathing children was investigated and compared with the Laryngeal Mask Airway (LMA). ⋯ The COPA is a good extratracheal airway that provides new possibilities for airway management in school age children with an adequate and well sealed airway, during spontaneous breathing or during short-term assisted manual ventilation.
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Paediatric anaesthesia · Jun 2002
The size 1.5 laryngeal mask airway (LMA) in paediatric anaesthetic practice.
The recently introduced size 1.5 laryngeal mask airway (LMA) is specifically designed for use in children weighing 5-10 kg. ⋯ The size 1.5 LMA is a useful addition to the range available, although the overall complication rate is considerable and is inversely related to the age of the child.
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Paediatric anaesthesia · May 2002
Randomized Controlled Trial Clinical TrialThe effect of baricity of intrathecal morphine in children receiving tetracaine spinal anaesthesia for cardiac surgery: a preliminary report.
This prospective, randomized study examined the effect of baricity of intrathecal preservative-free morphine on the duration of postoperative analgesia and incidence of side-effects in infants and children receiving high spinal anaesthesia with hyperbaric tetracaine in combination with a light general anaesthetic. ⋯ When intrathecal morphine is administered in conjunction with a hyperbaric tetracaine spinal to paediatric cardiac patients in the head down position, sequential administration of the hypobaric solution may mitigate side-effects.