scholarly journals COMPARITIVE STUDY OF INTUBATING CONDITIONS OF SUXAMETHONIUM AND MIVACURIUM CHLORIDE AS INTUBATING AGENTS IN PAEDIATRIC PATIENTS POSTED FOR TONSILLECTOMIES

2014 ◽  
Vol 3 (2) ◽  
pp. 279-288
Author(s):  
Vasantha Kumar J ◽  
Dayananda V.P ◽  
Venkatesh G.S.
Keyword(s):  
Intubating Conditions ◽  
Paediatric Patients

scholarly journals Dexmedetomidine vs Fentanyl for Awake Fiberoptic Intubation in Paediatric Patients with Temporomandibular Joint Ankylosis: A Retrospective Analysis

2021 ◽  
Author(s):  
Reena Mahajan ◽  
Depinder Kaur ◽  
Vijay Laxmy ◽  
Shiv Kumar Singh ◽  
Suchitra Malhotra ◽  
...  
Keyword(s):  
Fiberoptic Bronchoscopy ◽  
Fiberoptic Intubation ◽  
P Value ◽  
Tmj Ankylosis ◽  
Intubating Conditions ◽  
Paediatric Patients ◽  
Group A ◽  
Group B ◽  
Awake Fiberoptic Intubation ◽  
Sedative Agents

Introduction: For successful management of difficult paediatric airway intubation, proper preparation of airway along with a calm and sedated child with titrated doses of sedative agents is paramount. Aim: To compare two different classes of sedative agents (Dexmedetomidine vs Fentanyl) regarding intubating conditions and comfort score of paediatric population at the time of awake fiberoptic intubation. Materials and Methods: This retrospective study was carried out among 40 paediatric patients, aged between 5-14 years those who underwent surgery for Temporo-Mandibular Joint (TMJ) ankylosis. Clinical data relevant for this study was collected from the pre-format sheets of anaesthesia technique, attached with case files of the patients. Inj. dexmetedomidine bolus of 1 mcg/kg for 10 minutes followed by infusion at the rate 0.6 mcg/kg/hr in group A and Inj. fentanyl bolus dose of 2 mcg/kg followed by infusion 1 mcg/kg/hr in group B were compared in terms of intubating conditions and patient co-operation. For data analysis Statistical Package for the Social Sciences (SPSS) version 20 (IBM Inc.) was used. Patient characteristics in the two groups were compared using mean±SD and chi-square test. Results: All the patients had successful intubation in first attempt in both the groups. In terms of airway preparation, out of total, 14 (35%) patients in group A had no secretions as compare to 4 (10%) patients of group B (p-value was 0.002). In terms of cough score, 13 (32.5%) patients in group A had no cough as compared to 3 (7.5%) patients in group B. Patients in group A were more comfortable at the time of insertion of Flexible Fiberoptic Bronchoscopy (FOB) with no or less resistance to FOB insertion (p-value was 0.043). Vocal cord conditions were favourable in both the groups and there was no difference. Conclusion: Fiberoptic nasal intubation was found to be easier and safe in terms of patient comfort and preservation of patent airway with the use of dexmedetomidine, in paediatric TMJ ankylosis.

Intubating conditions without muscle relaxant in paediatric patients

2000 ◽  
Vol 17 (Supplement 19) ◽  
pp. 147-148
Author(s):  
P. Prayssac ◽  
L. Simon ◽  
K. Boucebci ◽  
E. Schmautz ◽  
J. M. Devys
Keyword(s):  
Muscle Relaxant ◽  
Intubating Conditions ◽  
Paediatric Patients

European paediatric patients with neuromyelitis optica: a good prognosis for most and seronegative to NMO-IgG

2010 ◽  
Vol 41 (02) ◽  
Author(s):  
P Huppke ◽  
M Blüthner ◽  
O Bauer ◽  
W Stark ◽  
K Reinhardt ◽  
...  
Keyword(s):  
Neuromyelitis Optica ◽  
Good Prognosis ◽  
European Paediatric ◽  
Paediatric Patients

Surgical Outcome in Paediatric Patients with Ebstein's Anomaly: A Multicenter, Long-Term Study

2016 ◽  
Vol 64 (S 02) ◽  
Author(s):  
L. Geerdink ◽  
G. du Marchie Sarvaas ◽  
I. Kuipers ◽  
W. Helbing ◽  
T. Delhaas ◽  
...  
Keyword(s):  
Surgical Outcome ◽  
Ebstein’S Anomaly ◽  
Term Study ◽  
Ebstein's Anomaly ◽  
Long Term Study ◽  
Paediatric Patients

Thrombin generation in paediatric patients with congenital heart disease

2008 ◽  
Vol 28 (S 01) ◽  
pp. S61-S66 ◽  
Author(s):  
G. Cvirn ◽  
A. Rosenkranz ◽  
B. Leschnik ◽  
W. Raith ◽  
W. Muntean ◽  
...  
Keyword(s):  
Congenital Heart Disease ◽  
Heart Disease ◽  
Negative Correlation ◽  
Congenital Heart ◽  
Thrombin Generation ◽  
Significant Negative Correlation ◽  
Peak Height ◽  
Global Test ◽  
Paediatric Patients ◽  
Age Range

SummaryThrombin generation was studied in paediatric patients with congenital heart disease (CHD) undergoing cardiac surgery using the calibrated automated thrombography (CAT) in terms of the lag time until the onset of thrombin formation, time to thrombin peak maximum (TTP), endogenous thrombin potential (ETP), and thrombin peak height. The suitability to determine the coagulation status of these patients was investigated. Patients, material, methods: CAT data of 40 patients with CHD (age range from newborn to 18 years) were compared to data using standard coagulation parameters such as prothrombin (FII), antithrombin (AT), tissue factor pathway inhibitor (TFPI), prothrombin fragment 1.2 (F 1.2), thrombin-antithrombin (TAT), activated partial thromboplastin time (aPTT), and prothrombin time (PT). Results: A significant positive correlation was seen between ETP and FII (p < 0.01; r = 0.369), as well as between peak height and F II (p < 0.01; r = 0.483). A significant negative correlation was seen between ETP and TFPI values (p < 0.05; r = –0.225) while no significant correlation was seen between peak height and TFPI. A significant negative correlation was seen between F 1.2 generation and ETP (p < 0.05; r = –0.254) and between F 1.2 generation and peak height (p < 0.05; r = –0.236). No correlation was seen between AT and ETP or peak. Conclusions: CAT is a good global test reflecting procoagulatory and inhibitory factors of the haemostatic system in paediatric patients with CHD.

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