The advantages of i-gel mask for tube exchange in asthmatic pediatric patients during emergence from general anesthesia

2016 ◽  
Vol 3 (3) ◽  
pp. 138
Author(s):  
EslamN Nada ◽  
GehanF Ezz
Children ◽  
2021 ◽  
Vol 8 (8) ◽  
pp. 642
Author(s):  
Giuliano Marchetti ◽  
Alessandro Vittori ◽  
Fabio Ferrari ◽  
Elisa Francia ◽  
Ilaria Mascilini ◽  
...  

We studied acute and chronic pain in pediatric patients who underwent thoracotomy for benign disease with a follow-up of at least three months. A telephone interview investigated about the presence of pain and the analgesic therapy in progress. The results were compared with the anesthetic technique, postoperative pain and the adequacy of pain therapy, both during the first week after surgery and at the time of interview. Fifty-six families consented to the study. The mean age of the children at surgery was 2.9 ± 4.5 years, while at the time of the interview was 6.5 ± 4.4 years. We performed different anesthetic strategies: Group A: general anesthesia (36 pts); Group B: general anesthesia and thoracic epidural (10 pts); Group C: general anesthesia and intercostal nerve block (10 pts). During the immediate postoperative period, 21 patients (37.5%) had at least one painful episode. At the time of interview, 3 children (5.3%) had moderate chronic neuropathic (burning) pain on surgical scar. There was no statistically significant difference between the type of anesthesia and the incidence and severity of acute post-operative pain. Despite its limitations, this study confirms the low incidence of chronic post-thoracotomy pain syndrome in children.


PEDIATRICS ◽  
1973 ◽  
Vol 51 (3) ◽  
pp. 476-479
Author(s):  
Frederic A. Berry ◽  
Sandra Yarbrough ◽  
Nelson Yarbrough ◽  
Catherine M. Russell ◽  
Martha A. Carpenter ◽  
...  

Pediatric patients with moderate to severe dental abnormalities were screened for bacteremia during restoration and/or extraction of carious teeth under general anesthesia. Blood cultures were obtained before nasotracheal intubation, after intubation, after restoration of carious teeth but before extraction, following extraction of teeth, and in the immediate postoperative period. All cultures before intubation were negative in the 34 children studied. Twelve percent were positive after nasotracheal intubation (p < .05), 16% were positive after restoration of carious teeth (p < 0.025), 65% were positive after extraction of carious teeth (p < .0005), and 14% were positive in the recovery room (p < .025). Although the incidence of bacteremia in these pediatric patients was lower than the incidence reported in adults following dental procedures, the need for the prophylactic administration of antibiotics in children with heart disease who are to undergo dental manipulations is clear.


2011 ◽  
Vol 47 (2) ◽  
pp. 158-166 ◽  
Author(s):  
Kotoe Kamata ◽  
Motohiro Hayashi ◽  
Osamu Nagata ◽  
Yoshihiro Muragaki ◽  
Hiroshi Iseki ◽  
...  

Author(s):  
CHRISTOPHER RYALINO ◽  
TJOKORDA GDE AGUNG SENAPATHI ◽  
ADINDA PUTRA PRADHANA ◽  
ANDRIAN YADIKUSUMO

Objectives: This study was designed to see the risk factors that contribute to emergence agitation (EA) and also to know the effectiveness of low-flow (LF) anesthesia technique in EA in pediatric patients. Methods: A total of 200 pediatric patients aged 6 months–6 years underwent surgery with general anesthesia were divided into two groups. The high-flow (HF) group was maintained with 5 l fresh gas flow (FGF), and the LF group was maintained with 500 ml FGF. The outcome was measured after the surgery was completed on Face, Legs, Activity, Cry, and Consolability and pediatric anesthesia emergence delirium (PAED) scores. Agitation defined in PAED score ≥10, and no agitation defined in PAED score <10. Results: EA incidence in the HF group was higher compared to the LF group (59.5 vs. 4.7%, p<0.001). HF anesthesia technique was a single risk factor for agitation event, whereas LF anesthesia may prevent EA incidence until up to 92.7%. Conclusion: LF anesthesia reduced agitation incidences. The effectiveness of LF was 92.7% in reducing the incidence of agitation. HF anesthesia was the main risk factor for agitation incidences.


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