Paediatric anaesthesia
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Paediatric anaesthesia · Oct 2002
Randomized Controlled Trial Comparative Study Clinical TrialPremedication with midazolam in young children: a comparison of four routes of administration.
We undertook a study to determine the effects of four routes of administation on the efficacy of midazolam for premedication. ⋯ Intranasal, oral, rectal and sublingual midazolam produces good levels of sedation and anxiolysis. Mask acceptance for inhalation induction was easy in the majority of children, irrespective of the route of drug administration.
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Paediatric anaesthesia · Oct 2002
Randomized Controlled Trial Clinical TrialPreemptive diclofenac reduces morphine use after remifentanil-based anaesthesia for tonsillectomy.
We investigated the effect of preincisional rectal diclofenac on pain scores and postoperative morphine requirements of children undergoing tonsillectomy after remifentanil-propofol anaesthesia in a randomized clinical trial. ⋯ Preemptive diclofenac given rectally reduced pain intensity and morphine requirements of children anaesthetized with remifentanil for tonsillectomy.
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Paediatric anaesthesia · Oct 2002
Flush volumes delivered from pressurized bag pump flush systems in neonates and small children.
The aim of this study was to measure the volumes of fluid delivered with a fast flush bolus from a flow regulating device. ⋯ Fast bolus flushing from pressurized infusion bag systems, using the flow regulating device tested, can be applied during neonatal and paediatric anaesthesia without delivering uncontrolled amounts of fluid.
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Tuberous sclerosis (TS) is a hamartomatous disease that usually presents with cutaneous and intracranial lesions, but can also affect other organ systems. ⋯ Patients with TS and neurological disorders frequently have coexisting cardiac and renal disease as well. Patients with TS should be evaluated for these organ specific disorders prior to surgery.