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  • 1
    Electronic Resource
    Electronic Resource
    Early intravenous cannulation in children during sevoflurane induction (2004)
    Oxford, UK : Blackwell Publishing Ltd
    Pediatric anesthesia 14 (2004), S. 0 
    Details
    ISSN: 1460-9592
    Source: Blackwell Publishing Journal Backfiles 1879-2005
    Topics: Medicine
    Notes: Background : It has been shown that early placement of an intravenous line in children anesthetized with halothane is equally safe compared with later placement. Whether this is true of sevoflurane is not known.Methods : Pediatric patients, age 1–18 years, undergoing elective general anesthesia via an inhalation induction were randomized to intravenous placement either 30 or 120 s following loss of lid reflex. Movement on intravenous placement and incidence of laryngospasm were determined. Difficulty with intravenous placement was recorded.Results : Movement on intravenous placement was more prevalent in the early group than in the late group (P 〈 0.0001). There was no laryngospasm in the late group and eight cases in the early group (P 〈 0.004). Children who had laryngospasm were older (P 〈 0.02) and weighed more (P 〈 0.04). Older children in the early group were more likely to have significant movement.Conclusion : Following an inhalation induction with sevoflurane in children, movement with intravenous placement was greater, and the incidence of laryngospasm was higher, when the intravenous access was attempted 30 s rather than 120 s following loss of lid reflex. We recommend waiting two min following the loss of lid reflex before attempting intravenous placement in children receiving an inhalation induction with sevoflurane.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1111/j.1460-9592.2004.01315.x
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    Paper (German National Licenses)
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  • 2
    Electronic Resource
    Electronic Resource
    Analgesic effect of clonidine added to bupivacaine 0.125% in paediatric caudal blockade (2004)
    Oxford, UK : Blackwell Publishing Ltd
    Pediatric anesthesia 14 (2004), S. 0 
    Details
    ISSN: 1460-9592
    Source: Blackwell Publishing Journal Backfiles 1879-2005
    Topics: Medicine
    Notes: Background : Caudals are a common method of providing pain relief in children undergoing surgery. Clonidine, an α2 agonist, exhibits significant analgesic properties. The current investigation sought to determine whether caudal clonidine added to caudal bupivacaine would decrease pain in paediatric patients undergoing surgery.Methods : Thirty-six children undergoing elective surgery were studied. Following anaesthetic induction, a caudal was placed (1 mg·kg−1 bupivacaine 0.125%) with an equal volume of either clonidine (2 μg·kg−1) or saline. Perioperative analgesic requirements in the postanaesthesia care unit (PACU) and at home following hospital discharge, and parental pain scores were evaluated.Results : There were no significant demographic, haemodynamic, or pain score differences between the groups. There was no difference in analgesic duration between groups. There were significantly more children who vomited during the first 24 postoperative hours in the clonidine group than in the saline group (eight in clonidine, two in saline; P 〈 0.05).Conclusion : We do not recommend adding clonidine (2 μg·kg−1) to a bupivacaine (0.125%) caudal block in children undergoing surgery.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1111/j.1460-9592.2004.01229.x
    Library Location Call Number Volume/Issue/Year Availability
    BibTip Others were also interested in ...
    Paper (German National Licenses)
    Fulltext
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