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fentanyl cardio pediatric

Anju Gupta, Usha Saha
Even after a vast safety record, the role of spinal anesthesia (SA) as a primary anesthetic technique in children remains contentious and is mainly limited to specialized pediatric centers. It is usually practiced on moribund former preterm infants (<60 weeks post-conception) to reduce the incidence of post-operative apnea when compared to general anesthesia (GA). However, there is ample literature to suggest its safety and efficacy for suitable procedures in older children as well. SA in children has many advantages as in adults with an added advantage of minimal cardio-respiratory disturbance...
January 2014: Journal of Anaesthesiology, Clinical Pharmacology
Dalia Abdelhamid Nasr, Hadeel Magdy Abdelhamid
AIMS AND OBJECTIVES: We studied efficacy of caudal dexmedetomidine (DEX) on attenuation of perioperative stress response and postoperative pain in pediatric patients undergoing cardiac surgery. MATERIALS AND METHODS: Forty patients, (ASA II, III), 1-3-years old were randomly allocated into two groups; group BD received caudal bupivacaine 0.25%, 2.5 mg/kg and DEX 0.5 μg/kg and group BF received bupivacaine 2.5 mg/kg and fentanyl 1 μg/kg. RESULTS: Serum cortisol and blood glucose levels increased in both groups but increases were significantly less in group BD...
April 2013: Annals of Cardiac Anaesthesia
M Yamauchi, H Watanabe, H Imaizumi, S Sumita, M Yamakage, A Namiki
During cardiac surgery, esophageal, rectal, or bladder temperature is usually monitored as an index of core temperature; however, these methods are invasive, and often inconsistently reflect the central body temperature, especially in pediatric patients. The purpose of this study was to evaluate the utility of tracheal temperature monitoring during cardiac surgery in pediatric patients. Fifteen children (ages; 8 m.-7 yr.) undergoing cardiac surgery with cardio-pulmonary bypass (CPB) were studied. Anesthesia was induced and maintained with high doses of fentanyl and intermittent doses of midazolam...
August 1995: Masui. the Japanese Journal of Anesthesiology
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