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Steward score in children

Manish B Kotwani, Anila D Malde
Background and Aims: Increasing number of pediatric ambulatory surgeries are being carried out in general anesthesia using supraglottic airways (SGAs). Literature comparing sevoflurane and desflurane for the maintenance of SGA-based anesthesia is limited. Hence, we planned this prospective randomized study to compare the maintenance, emergence and recovery characteristics of sevoflurane and desflurane for pediatric ambulatory surgery. Material and Methods: Sixty children aged 6 months to 6 years posted for short surgical procedures were enrolled into the study...
October 2017: Journal of Anaesthesiology, Clinical Pharmacology
L Elaine Taylor, Heather S Harris
BACKGROUND: Child sexual abuse and exploitation are an increasing public health problem. In spite of the fact that nurses are in a unique position to identify and intervene in the lives of children suffering from abuse due to their role in providing health care in a variety of settings, nursing curricula does not routinely include this focus. OBJECTIVES: The goal was to document the effectiveness of the Stewards of Children child sexual abuse training as an effective educational intervention to increase the knowledge level of undergraduate nursing students on how to prevent, recognize, and react responsibly to child sexual abuse and trafficking...
January 2018: Nurse Education Today
Lenora M Lehwald, Rachael Pappa, Sally Steward, Emily de Los Reyes
PURPOSE: The aims of this study were to evaluate sleep difficulties in children with neuronal ceroid lipofuscinosis and to determine the association between the sleep difficulties and the onset of seizures and loss of vision. METHOD: We recruited individuals with a confirmed diagnosis of neuronal ceroid lipofuscinosis. We obtained information from the caregiver using the validated Children's Sleep Habits Questionnaire which is a sleep instrument for both behaviorally and medically based problems...
June 2016: Pediatric Neurology
Tess Lang, Elsa Heylen, Sheeja Perumpil, Anita Shet, Mathew Perumpil, Wayne Steward, Emily Shamban, Maria L Ekstrand
This study was designed to evaluate the quality of life (QOL) of children living with HIV at an institutional care home in Bangalore, India. The Sneha Care Home is a unique residence that provides educational and community support with a focus on physical, nutritional, medical, and psychological care for orphans and vulnerable children. Cross-sectional health measures and interview data were collected from 97 residents including 52 boys and 45 girls between 5 and 12 years of age (mean age = 9). QOL was measured with the Pediatric Quality of Life 4...
2014: Vulnerable Children and Youth Studies
Christine A Fortney, Deborah K Steward
PURPOSE: In neonates, the course of illness is often unpredictable and symptom assessment is difficult. This is even truer at the end of life (EOL). Time to death can take minutes to days, and ongoing management of the infant is needed during the time between discontinuation of life-sustaining treatment and death to ensure that the infant remains free of pain and suffering. The symptoms experienced by neonates as they die, as well as best ways to treat those symptoms, are understudied...
February 2015: Advances in Neonatal Care: Official Journal of the National Association of Neonatal Nurses
Kayla A Steward, Alexander Tan, Lauren Delgaty, Mitzi M Gonzales, Melissa Bunner
OBJECTIVE: Children with ADHD lack self-awareness of their social and academic deficits, frequently rating themselves more favorably than external sources. The purpose of the current study was to assess whether adolescents with ADHD also hold a positive bias toward their executive functioning (EF). METHOD: Participants include 22 control and 35 ADHD subjects, aged 11 to 16. Participants and their parents completed the Behavior Rating Inventory of Executive Functioning (BRIEF) Self and Parent forms, respectively...
February 2017: Journal of Attention Disorders
Senem Koruk, Ayse Mizrak, Berna Kaya Ugur, Osman Ilhan, Osman Baspinar, Unsal Oner
BACKGROUND: Children undergoing cardiac catheterization usually need general anesthesia or deep sedation. OBJECTIVE: This study was performed to compare the effects of propofol/dexmedetomidine and propofol/ketamine combinations on recovery time and hemodynamic parameters in pediatric patients undergoing transcatheter atrial septal defect (ASD) closure. METHODS: This was a prospective randomized study. Pediatric patients with ASD were randomly assigned into 2 groups to receive propofol/dexmedetomidine or propofol/ketamine...
April 2010: Clinical Therapeutics
Neerja Bhardwaj, Sandhya Yaddanapudi
AIM: To evaluate the impact of bispectral index (BIS) monitoring on the consumption of propofol and recovery from anesthesia compared to the standard clinical practice in children. BACKGROUND: Titrating propofol administration using BIS reduces its requirement and shortens the recovery from anesthesia in adults. However, there is still mixed evidence for utility of anesthesia depth monitors in reducing anesthesia requirement in children. METHODS/MATERIALS: A prospective randomized study was conducted in 50 ASA I children of 2-12 years, randomly assigned into standard practice (SP) or BIS group...
February 2010: Paediatric Anaesthesia
Shiba Goel, Neerja Bhardwaj, Kajal Jain
OBJECTIVES: Use of midazolam and ketamine lowers the induction dose of propofol (co-induction) producing hemodynamic stability. BACKGROUND: Large doses of propofol needed for induction and laryngeal mask (LM) insertion in children may be associated with hemodynamic and respiratory effects. Co-induction has the advantage of reducing dose and therefore maintaining hemodynamic stability. AIM: To examine the effect of co-induction on hemodynamics, LM insertion and recovery in children...
July 2008: Paediatric Anaesthesia
Y Kawaraguchi, T Otomo, C Ota, N Uchida, A Taniguchi, S Inoue
BACKGROUND: It has been reported that ropivacaine produces vasoconstriction in contrast to vasodilation produced by bupivacaine. It is possible that additives to ropivacaine can provide further analgesic advantages compared with bupivacaine. We thus evaluated whether the addition of fentanyl to ropivacaine prolonged the duration of analgesia after a single shot caudal block. METHODS: A total of 36 children undergoing surgical procedures below the umbilicus were randomly allocated to one of two groups: Group F received ropivacaine 0...
December 2006: British Journal of Anaesthesia
Zeynep Tosun, Aynur Akin, Gulen Guler, Aliye Esmaoglu, Adem Boyaci
OBJECTIVE: The purpose of this study was to compare the effects of dexmedetomidine-ketamine and propofol-ketamine combinations on hemodynamics, sedation level, and the recovery period in pediatric patients undergoing cardiac catheterization. DESIGN: Prospective, randomized trial. SETTING: University hospital. PARTICIPANTS: Children (n = 44) undergoing cardiac catheterization. INTERVENTIONS: The dexmedetomidine plus ketamine group (group 1, n = 22) received an infusion over 10 minutes of 1 microg/kg of dexmedetomidine and ketamine, 1 mg/kg, as a bolus, for induction...
August 2006: Journal of Cardiothoracic and Vascular Anesthesia
Domenico Pietrini, Francesca Ciano, Elia Forte, Federica Tosi, Filippo Zanghi, Francesco Velardi, Concezio DI Rocco, Antonio Chiaretti, Elena Caresta, Marco Piastra
BACKGROUND: The aim of the present study was to compare the efficacy of isoflurane-remifentanil and sevoflurane-remifentanil combinations during neurosurgical correction craniosynostosis. METHODS: Twenty-two infants with craniosynostosis received a slow bolus of remifentanil followed by continuous infusion. The infants were randomly divided into two groups: remifentanil followed by sevoflurane (the 'sevoflurane group'), and remifentanil followed by isoflurane (the 'isoflurane group')...
August 2005: Paediatric Anaesthesia
Neerja Bhardwaj, Indu Bala, Charanjit Kaur, Pramila Chari
BACKGROUND: Children undergoing strabismus surgery have a high incidence of postoperative nausea and vomiting. Ondansetron plus dexamethasone is effective in reducing its incidence in many surgical procedures. PURPOSE: To examine the efficacy of ondansetron plus dexamethasone in children undergoing strabismus surgery. PATIENTS AND METHODS: A randomized, placebo-controlled, double blind study of 100 children 2 to 12 years old, in American Society of Anesthesiologists classes I and II, and undergoing strabismus surgery with the use of general anesthesia was conducted...
March 2004: Journal of Pediatric Ophthalmology and Strabismus
P Tarkkila, H Viitanen, S Mennander, P Annila
Few studies exist of using remifentanil and intravenous ketamine for anaesthetic induction in paediatric day case anaesthesia. Therefore, we studied 75 unpremedicated ASA I-II children (age 1-7 years) who were randomly assigned in a double-blind fashion to receive either remifentanil (1 microgram/kg), ketamine (0.7 mg/kg) or placebo before the anaesthetic induction. Anaesthesia was induced with propofol and maintained with O2-N2O-sevoflurane. Induction characteristics, recovery times and the need for postoperative analgesia were evaluated...
2003: Acta Anaesthesiologica Belgica
Yoshitaka Kawaraguchi, Yoshikazu Miyamoto, Kazuo Fukumitsu, Akihiro Taniguchi, Osamu Hirao, Seiji Kitamura, Keiko Kinouchi
We investigated the effect of ketamine on reducing postoperative agitation after sevoflurane anesthesia in children undergoing elective strabismus surgery. Fifty-five children, 3-9 years of age, were randomly assigned to the following three groups; ketamine (group K, n = 18), pentazocine (group P, n = 19), and flurbiprofen axetil(group F, n = 18). Group K received ketamine 1 intravenously, followed by infusion of ketamine 1 during surgery, group P received pentazocine 0.2 intravenously after induction of anesthesia, and Group F received intravenous flurbiprofen axetil, 1 mg...
December 2002: Masui. the Japanese Journal of Anesthesiology
J Schmidt, J Fechner, B Fritsch, B Schmitz, R Carbon, W Rösch, S Albrecht
INTRODUCTION: The aim of this study was to compare total intravenous anaesthesia (TIVA) using propofol and remifentanil (P/R-group) and balanced anaesthesia (BA) using sevoflurane and remifentanil (S/R-group) for paediatric surgery. PATIENTS AND METHODS: A total of 120 patients aged 6 months to 16 years scheduled for elective minor lower abdominal surgery were randomly assigned to receive either propofol (5-10 mg/kg/h) and remifentanil (0.125-1.0 microgram/kg/min) or sevoflurane (1...
October 2001: Der Anaesthesist
G Pestel, T Uhlig, H Unrein, A Rothhammer
This prospective randomized study compares the effects of rocuronium (R) and vecuronium (V) on the early postoperative period in infants. Forty-eight infants between the ages of three and six, scheduled for elective ENT procedures, were studied after prior approval of local ethics committee and informed parental consent. All children were premedicated with chlorprotixene and belladonna. Anaesthesia was induced with 5 mg/kg thiopentone and 1 vol.-% halothane. Subsequently, 0.4 mg/kg rocuronium or 0.075 mg/kg vecuronium were administered, respectively...
2001: Anaesthesiologie und Reanimation
J C Finkel, I T Cohen, R S Hannallah, K M Patel, M S Kim, K A Hummer, S S Choi, M Pena, S B Schreiber, G Zalzal
UNLABELLED: Children undergoing placement of bilateral myringotomy tubes (BMT) often exhibit pain-related behavior (agitation) in the postanesthesia care unit. We compared the emergence and recovery profiles of pediatric patients who received sevoflurane with or without supplementary intranasal fentanyl for BMT surgery. By using a prospective, double-blinded design, 150 children 6 mo to 5 yr of age, scheduled for routine BMT surgery, were anesthetized with sevoflurane (2%-3%) in a 60% N(2)O/O(2) gas mixture...
May 2001: Anesthesia and Analgesia
D Shende, K Das
BACKGROUND: Corrective strabismus surgery is associated with moderate pain and a very high incidence of postoperative nausea and vomiting (PONV). Ketorolac tromethamine, a nonsteroidal anti-inflammatory drug, is a popular analgesic in adults. There are only limited published data on the use of intravenous ketorolac for paediatric analgesia perioperatively. This study evaluated and compared the emetic and analgesic effect of ketorolac with pethidine and its suitability for this kind of surgery...
March 1999: Acta Anaesthesiologica Scandinavica
C Hayes, R J Lush, J M Cornish, A M Foot, J Henderson, I Jenkins, P Murphy, A Oakhill, D H Pamphilon, C G Steward, P Weir, A Wolf, D I Marks
We report the results of a retrospective study of the role of intensive care unit (ICU) admission in the management of 367 children who underwent bone marrow transplantation (BMT) at a tertiary referral institution. 39 patients (11%) required 44 ICU admissions for a median of 6 d. 70% received marrow from unrelated donors, half of which were mismatched; 80% had leukaemia and two-thirds were considered high-risk transplants. Respiratory failure was the major reason for admission to ICU. 75% of admissions required mechanical ventilation (for a median of 5 d) and 20 patients had lung injury as defined by the criteria of the Seattle group...
August 1998: British Journal of Haematology
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