A Comparison Of Emergence Behavior In Pediatric Dental Patients Undergoing General Anesthesia With Sevoflurane Versus Desflurane
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A Comparison Of Emergence Behavior In Pediatric Dental Patients Undergoing General Anesthesia With Sevoflurane Versus Desflurane
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Author : Carla Jean LaLande
language : en
Publisher:
Release Date : 2008
A Comparison Of Emergence Behavior In Pediatric Dental Patients Undergoing General Anesthesia With Sevoflurane Versus Desflurane written by Carla Jean LaLande and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 2008 with categories.
Purpose: To determine which maintenance gas (sevoflurane versus desflurane) resulted in a faster emergence from general anesthesia and investigate the patient's emergence agitation. Methods: One group was maintained during general anesthesia with sevoflurane and the other with desflurane. Upon emergence the patient's behavior was evaluated. Results: The average emergence time for desflurane was 9.8; while the average for sevoflurane was 13.98 minutes. Patients who received premedication had an emergence time of 15.43 minutes, while patients who received no premedication emerged after 8.34 minutes. Zofran® was a significant predictor of purposeful actions. Patients were more aware of their surroundings when they received Zofran® compared to patients who did not receive Zofran®. Conclusion: Maintaining with desflurane and not premedicating patients allowed for a faster emergence from general anesthesia. Patients given Zofran® in their IV during the surgery had less emergence agitation then their counterparts.
Pediatric Anesthesia
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Author : Bruno Bissonnette
language : en
Publisher: PMPH-USA
Release Date : 2014-05-14
Pediatric Anesthesia written by Bruno Bissonnette and has been published by PMPH-USA this book supported file pdf, txt, epub, kindle and other format this book has been release on 2014-05-14 with Medical categories.
No longer merely a subspecialty, pediatric anesthesia is now a professional entity in its own right, as is amply demonstrated in this comprehensive addition to the medical and surgical literature. Pediatric Anesthesia: Basic Principles-State of the Art-Future comprises the contributions of 150 experts in the field from all over the world, providing this book with a truly global perspective. This textbook will help anesthesiologists already interested in pediatric anesthesia to the knowledge and skills inherent to the safe practice of anesthesia for infants and children.
A Practice Of Anesthesia For Infants And Children
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Author : Charles J. Cote, MD
language : en
Publisher: Elsevier Health Sciences
Release Date : 2013-01-25
A Practice Of Anesthesia For Infants And Children written by Charles J. Cote, MD and has been published by Elsevier Health Sciences this book supported file pdf, txt, epub, kindle and other format this book has been release on 2013-01-25 with Medical categories.
Provide optimal anesthetic care to your young patients with A Practice of Anesthesia in Infants and Children, 5th Edition, by Drs. Charles J. Cote, Jerrold Lerman, and Brian J. Anderson. 110 experts representing 10 different countries on 6 continents bring you complete coverage of the safe, effective administration of general and regional anesthesia to infants and children - covering standard techniques as well as the very latest advances. Find authoritative answers on everything from preoperative evaluation through neonatal emergencies to the PACU. Get a free laminated pocket reference guide inside the book! Quickly review underlying scientific concepts and benefit from expert information on preoperative assessment and anesthesia management, postoperative care, emergencies, and special procedures. Stay on the cutting edge of management of emergence agitation, sleep-disordered breathing and postoperative vomiting; the use of new devices such as cuffed endotracheal tubes and new airway devices; and much more. Familiarize yourself with the full range of available new drugs, including those used for premedication and emergence from anesthesia. Benefit from numerous new figures and tables that facilitate easier retention of the material; new insights from neonatologists and neonatal pharmacologists; quick summaries of each chapter; and more than 1,000 illustrations that clarify key concepts. Access the entire text online, fully searchable, at www.expertconsult.com, plus an extensive video library covering simulation, pediatric airway management, burn injuries, ultra-sound guided regional anesthesia, and much more; and new online-only sections, tables and figures.
A Comparison Of Emergence Agitation Delirium In Pediatric Dental Patients With Sevoflurane And Using Sevoflurane With A Washout Propofol Technique
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Author : Zachary Xavier Van Hilsen
language : en
Publisher:
Release Date : 2014
A Comparison Of Emergence Agitation Delirium In Pediatric Dental Patients With Sevoflurane And Using Sevoflurane With A Washout Propofol Technique written by Zachary Xavier Van Hilsen and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 2014 with categories.
Background: Emergence Agitation/Delirium (EA/ED) is a frequent finding in younger children who undergo general anesthesia for surgical procedures. The objective of this double-blind controlled study was to determine if providing for the elimination of sevoflurane prior to the end of the surgery, with a washout propofol technique, is effective at reducing the incidence, severity, and probability of EA/ED.
Anesthesia Stat Acute Pediatric Emergencies In Pacu
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Author : Susan T. Verghese
language : en
Publisher: Springer Nature
Release Date : 2023-05-30
Anesthesia Stat Acute Pediatric Emergencies In Pacu written by Susan T. Verghese and has been published by Springer Nature this book supported file pdf, txt, epub, kindle and other format this book has been release on 2023-05-30 with Medical categories.
This case-based book comprehensively covers the clinically significant problems that can occur in children in the immediate postoperative period after surgery after admission to Post Anesthesia Care Unit. Chapter authors first focus on how clinical monitoring and safety of post-op patients can and must continue after hand off to the PACU team and then describe 24 interesting clinical scenarios that needed urgent intervention in PACU. The goal of this book is to teach members of the perioperative teams around the globe how to keep anesthesia stat calls to a minimum. Anesthesia STAT! Acute Pediatric Emergencies in PACU features contributions from leaders in pediatric anesthesiology and be an indispensable guide for the perioperative and postoperative team in preventing potential problems during the post-anesthetic period.
Cumulated Index Medicus
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Author :
language : en
Publisher:
Release Date : 1990
Cumulated Index Medicus written by and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 1990 with Medicine categories.
An Sthesiologie
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Author : Eberhard Kochs
language : de
Publisher: Georg Thieme Verlag
Release Date : 2008-11-19
An Sthesiologie written by Eberhard Kochs and has been published by Georg Thieme Verlag this book supported file pdf, txt, epub, kindle and other format this book has been release on 2008-11-19 with Medical categories.
Anästhesiologie - Kritische Risikoabschätzung, sorgfältige Planung, optimale Versorgung! Grundlagen - Geschichte - Rechtliche Aspekte - Pharmakologie - Arbeitstechniken Physiologie, Pathophysiologie und Anästhesie bei Begleiterkrankungen - Nervensystem, Lunge, Herz-Kreislauf, Sauerstoff-Transport, Säure- Basen-Haushalt, Hämatologie, Gerinnung, Niere, Leber, Magen-Darm-Trakt, Stoffwechsel, endokrines System, Immunsystem, Haut, Bindegewebe, muskuloskelettales System Allgemeine Anästhesiologie - Diagnostische Verfahren, Anästhesievorbereitung - Intraoperative Überwachung - Allgemeinanästhesie - Regionalanästhesie - Postoperative Phase Spezielle Anästhesiologie - Viszeralchirurgie, Geburtshilfe und Gynäkologie, Urologie. Orthopädie und Unfallchirurgie, Thoraxchirurgie, Herzchirurgie, Gefäßchirurgie, Neurochirurgie, HNO-Heilkunde, Augenheilkunde, Plastische und Wiederherstellungschirurgie, Transplantationschirurgie, Polytrauma, Verbrennungen, Kinderanästhesie, Anästhesie bei alten Menschen - Ambulante Eingriffe Organisatorische Aspekte - Leitlinien, SOPs - OP-Management - Betriebswirtschaftliches Management - Fort- und Weiterbildung Neues und Bewährtes in der 2. Auflage - Ein qualifiziertes Herausgeberteam und erfahrene Autoren decken das gesamte Spektrum der Anästhesiologie ab - Alle Texte auf dem neuesten Stand - Reichhaltiges Bildmaterial - Farbiges, noch übersichtlicheres Layout - Optimaler Informationszugriff aufgrund zahlreicher Orientierungshilfen: - Themenübersicht am Anfang und Kernaussagen am Ende aller Teilkapitel - Speziell hervorgehoben: besonders wichtige Informationen, Hinweise für die Praxis und Definitionen - Viele tabellarische Übersichten und Synopsen
Emergence Delirium Incidence In Children Undergoing Adenoidectomy With Or Without Tonsillectomy Under General Anesthesia And Who Received Clonidine As Preanesthetic Medication
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Author :
language : en
Publisher:
Release Date : 2017
Emergence Delirium Incidence In Children Undergoing Adenoidectomy With Or Without Tonsillectomy Under General Anesthesia And Who Received Clonidine As Preanesthetic Medication written by and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 2017 with categories.
Background and Goal of Study: Emergence delirium (ED) is an anesthetic complication very common in children. It is characterized by a behavior and cognition changes during early postoperative period. The incidence may be higher than 80%. Risk factors include preschool children, sevoflurane-based anesthesia, ophthalmologic and ear, nose and throat surgery. This study aims to evaluate the ED incidence in children undergoing adenoidectomy with or without tonsillectomy. Were also evaluated the incidence of other postoperative complications, pain (CHEOPS, Childrenu2019s Hospital of Eastern OntarioPain Scale), time to awake, time to discharge from post-anesthesia care unit (PACU), PAED inter-rater agreement and parental satisfaction. Materials and Methods: A prospective and observational study of ASA I or II physical status children aged one to nine. All children received oral clonidine 4 mcg.kg-1 one hour before induction. Induction was performed with nitrous oxide/oxygen and sevoflurane. After insertion of a peripheral intravenous catheter, fentanyl 2 mcg.kg-1, propofol 2 mg.kg-1 and lidocaine 2 mg.kg-1 were administered. Two independent evaluators applied PAED at 1st, 10th, 20th and 30thminute and CHEOPS at 10th, 20th and 30th minute after awake. PAED and CHEOPS u2265 10 indicate ED and pain, respectively. Results and Discussion: 72 children were enrolled. The median age was 4.25 years. Thirteen children received a PAED score u2265 10, with an overall incidence of 18%. Five children received a CHEOPS score u2265 10. Kappa coefficient for PAED scale was 0.83 for the first minute after extubation and 1 for the others. Seven children presented laryngospasm. One child presented hypotension and another had bradycardia. One presented vomiting. Mean time for awake and discharge from PACU was 18.6 and 69 minutes, respectively. The majority of parents reported they were u201cverysatisfiedu201d. Conclusion(s): ED is very common in pediatric anesthesia and preventive measures should be instituted in high-risk patients. PAED scale is the only one validated and inter-rater agreement was considered perfect. Although it is a self-limited complication, the impact of ED on childu2019s behavior and cognition is not yet elucidated, and risk stratification, correct diagnosis and preventive measures are recommended.
Index Medicus
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Author :
language : en
Publisher:
Release Date : 2003
Index Medicus written by and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 2003 with Medicine categories.
Vols. for 1963- include as pt. 2 of the Jan. issue: Medical subject headings.
The Efficacy Of Oral Dexmedetomidine As An Anesthetic Pre Operative Medication And As A Deterrent To Emergence Delirium
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Author :
language : en
Publisher:
Release Date : 2008
The Efficacy Of Oral Dexmedetomidine As An Anesthetic Pre Operative Medication And As A Deterrent To Emergence Delirium written by and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 2008 with categories.
Introduction: Emergence delirium (ED) is a mental disturbance sometimes occurring during recovery from general anesthesia. ED presents as hallucinations and confusion, evidenced by moaning, restlessness, involuntary physical activity, and is considered a common post-anesthetic problem in children. This study investigated the role of preoperative dexmedetomidine on parental separation anxiety and anesthesia mask acceptance and its effectiveness in reducing the incidence and severity of ED. Methods: A double-blind pilot study was conducted with 41 children, 1-6 years of age, undergoing dental restoration and/or extractions under general anesthesia. Subjects were given 4[mu]g/kg dexmedetomidine (Group A) or 0.5 mg/kg midazolam (Group B) orally, prior to anesthesia induction. General anesthesia was initiated using 6% sevoflurane in 50% O with 50% NO and was maintained 22with 0.8-1.5% isoflurane. Subjects were evaluated using the Parental Separation Tool and the Anesthesia Mask Acceptance Tool. Following extubation the subjects were transported to the post-anesthesia recovery room and evaluated using the Pediatric Anesthesia Emergence Delirium Scale. Results: There was no significant difference between Groups A and B in parental separation anxiety (P=0.138; Pearson Chi-Square) or anesthesia mask acceptance (P=0.438; Pearson Chi-Square). In addition, Group A showed no significant difference in occurrence of ED compared to Group B (P=0.313, independent t-test). Interestingly, males in Group B were 15.75 times more likely to experience parental separation anxiety than males in Group A. This difference was found to be statistically significant with P=0.011 by Pearson Chi-Square and P=0.024 by Fischer's Exact Test. Conclusions: The clinically significant finding of this investigation is that dexmedetomidine (4[mu]g/kg) is equally as effective as midazolam (0.5mg/kg) in preventing parental separation difficulty and easing acceptance of the anesthetic mask in pediatric patients 1-6 years of age. However, dexmedetomidine is not significantly effective in preventing the occurrence of ED in this pediatric patient population.