Revista brasileira de anestesiologia
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Rev Bras Anestesiol · Nov 2014
[Bedside prediction of right subclavian venous catheter insertion length].
The present study aimed to evaluate whether right subclavian vein (SCV) catheter insertion depth can be predicted reliably by the distances from the SCV insertion site to the ipsilateral clavicular notch directly (denoted as I-IC), via the top of the SCV arch, or via the clavicle (denoted as I-T-IC and I-C-IC, respectively). ⋯ The I-T-IC distance may be a reliable bedside predictor of the optimal insertion length for a right SCV cannulation.
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Rev Bras Anestesiol · Nov 2014
[The incidence of emergence delirium and risk factors following sevoflurane use in pediatric patients for day case surgery, Kingston, Jamaica].
Emergence delirium is a distressing complication of the use of sevoflurane for general anesthesia. This study sought to determine the incidence of emergence delirium and risk factors in patients at a specialist pediatric hospital in Kingston, Jamaica. ⋯ Children of younger age with greater preoperative anxiety are at increased risk of developing emergence delirium following general anesthesia with sevoflurane. The overall incidence of emergence delirium was 19%.
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Rev Bras Anestesiol · Nov 2014
[Sugammadex versus neostigmine in pediatric patients: a prospective randomized study].
Acetylcholinesterase inhibitors may cause postoperative residual curarization when they are used for reversal of neuromuscular blockade. Sugammadex reverses neuromuscular blockade by chemical encapsulation and is not associated with the side effects that may occur with the use of anticholinesterase agents. Because of increased outpatient surgical procedures postoperative residual curarization and rapid postoperative recovery have a greater importance in the pediatric patient population. The aim of this study was to compare the efficacy of sugammadex and neostigmine on reversing neuromuscular blockade in pediatric patients undergoing outpatient surgical procedures. ⋯ Sugammadex provides safer extubation with a shorter recovery time than neostigmine in pediatric patients undergoing outpatient surgical procedures.
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Rev Bras Anestesiol · Nov 2014
[Comparison of different tests to determine difficult intubation in pediatric patients].
The difficulties with airway management is the main reason for pediatric anesthesia-related morbidity and mortality. ⋯ These results suggested that the modified Mallampati and Upper-Lip-Bite tests may be useful in pediatric patients for predicting difficult intubation.