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cold and pediatric anesthesia

Sheng-Chun Yang, Chia-Jung Huang, Chao-Long Chen, Chih-Hsien Wang, Shao-Chun Wu, Tsung-Hsiao Shih, Sin-Ei Juang, Ying-En Lee, Bruno Jawan, Yu-Feng Cheng, Kwok-Wai Cheng
AIM: To compare the outcomes of pediatric patients weighing less than or more than 10 kg who underwent liver transplantation. METHODS: Data for 196 pediatric patients who underwent living donor liver transplantation between June 1994 and February 2011 were reviewed retrospectively. The information for each patient was anonymized and de-identified before analysis. The data included information regarding the pre-transplant conditions, intraoperative fluid replacement and outcomes for each patient...
June 21, 2015: World Journal of Gastroenterology: WJG
Annette P N Kutter, Rima N Bektas, Christoph K Hofer, M Paula Larenza Menzies, Regula Bettschart-Wolfensberger
The present study evaluated transpulmonary thermodilution (TPTD) and pulse contour cardiac output (PCCO) both measured by the PiCCO Plus™ monitor (Pulsion Medical Systems, Munich, Germany) against pulmonary artery thermodilution (PATD) in cats as a hemodynamic model for small children. A wide range of cardiac outputs (CO) was simultaneously measured. Accuracy and trending abilities were critically evaluated. Three cats were studied under isoflurane anesthesia and 160 CO measurements were performed with 3 mL ice-cold 5 % dextrose with PATD and TPTD...
June 2015: Journal of Clinical Monitoring and Computing
Saban Celebi, Murat Topak, Omer N Develioglu, Erdem Caglar, Enis Yalcin, Murat Unsel, Mehmet Kulekci
: This study sought to examine the effect of thermal welding tonsillectomy that reduces pain and length of anesthesia on emergence agitation. A total of 60 patients (age range, 3–6 years) with chronic recurrent tonsillitis with an indication for tonsillectomy were included. Patients were randomly assigned to 2 groups. The control group (the CD group) was composed of patients undergoing cold dissection (CD) tonsillectomy. The study group (TW group) included patients undergoing thermal welding (TW) tonsillectomy...
2013: Journal of Craniofacial Surgery
Ari Kupietzky, Anna B Fuks, Kaaren G Vargas, William F Waggoner
PURPOSE: To report the findings of a survey to determine the educational experiences, opinions and clinical practices relative to the use of coolant during cavity preparation of pediatric dentist members of the American Academy of Pediatric Dentistry (AAPD) and to determine whether teaching policies influenced the type of coolant used in private practice. METHODS: Four thousand fifty surveys were emailed to AAPD members and included questions regarding demographics and predoctoral, graduate, and current practice policies for the use of dry cutting...
January 2013: Pediatric Dentistry
Viviane G Nasr, Roman Schumann, Iwona Bonney, Lina Diaz, Iqbal Ahmed
INTRODUCTION: During magnetic resonance imaging (MRI), children are at risk for body temperature variations. The cold MRI environment that preserves the MRI magnet can cause serious hypothermia. On the other hand, hyperthermia may also develop because of radiofrequency-induced heating of the tissues, particularly in prolonged examinations. Because of a lack of MRI-compatible core temperature probes, temperature assessment is unreliable, and specific absorption rate-related patient heat gain must be calculated to determine the allowable scan duration...
June 2012: Anesthesia and Analgesia
Elif Ayanoglu Aksoy, Cagdas Elsürer, Gediz Murat Serin, Omer Faruk Unal
INTRODUCTION: Subglottic cysts (SGCs) are increasingly recognized as a cause of upper airway obstruction in previously intubated infants. Endoscopic marsupialization with cold steel instruments or CO(2) laser has been reported to be the standardised treatment method for SGCs. SGC case series of 9 patients who were treated with endoscopic marsupialization with cold steel instruments or CO(2) laser and mechanical decompression with balloon dilatation are presented. PATIENTS AND METHODS: Retrospective study of 9 cases of subglottic cysts treated between 2003 and 2010 was done...
February 2012: International Journal of Pediatric Otorhinolaryngology
Tyler Burnett, Tarun Bhalla, Amod Sawardekar, Joseph D Tobias
BACKGROUND: The On-Q infusion device is an elastomeric device with a flow regulator that controls the flow of a local anesthetic agent through a peripheral catheter. As variations in external temperature may affect the diameter of the tubing or viscosity of the fluid, it is feasible that alterations in flow may be caused by such temperature variations. This study evaluates the performance of this device during variations in environmental temperature. METHODS: The disposable 400 ml On-Q pain ball infusion devices were filled and connected to a single, end hole infusion catheter and set to infuse at 14 ml·h(-1) ...
December 2011: Paediatric Anaesthesia
Dhave Setabutr, Eelam A Adil, Tabrez K Adil, Michele M Carr
OBJECTIVE: To describe the tonsillectomy techniques and management used by practicing otolaryngologists in the United States. STUDY DESIGN: Anonymous 18-question postal survey of pediatric and general otolaryngologists on their current tonsillectomy practices. SETTING: Tertiary academic medical center. SUBJECTS AND METHODS: Current preoperative, perioperative, and postoperative practices in tonsillectomy were queried with multiple-choice and open-ended questions...
August 2011: Otolaryngology—Head and Neck Surgery
Amir Hashem Shahidi Bonjar
BACKGROUND: Neurologically, it is proven that stimulation of larger diameter fibers - e.g. using appropriate coldness, warmth, rubbing, pressure or vibration- can close the neural "gate" so that the central perception of itch and pain is reduced. This fact is based upon "Gate-control" theory of Melzack and Wall. PRESENTATION OF THE HYPOTHESIS: Syringe Micro Vibrator is a new design being introduced for the first time in the field of Dentistry. This device is a promising breakthrough in pain and anxiety management and may deliver solution for clinicians plagued with patient pain phobia...
2011: Annals of Surgical Innovation and Research
Naser Asl Aminabadi, Ramin Mostofi Zadeh Farahani
AIM: The aim of the study was to evaluate the effect of cooling the soft tissue of injection sites on the pain perceptions of pediatric patients during the administration of local anesthesia for routine dental procedures. METHODS AND MATERIALS: A total of 160 children aged 5-6 years were included in the present study. On a random basis, the subjects were allocated to the without ice pretreatment (WIP) group (topical anesthesia + counterstimulation + distraction) or the ice pretreatment (IP) group (cooling + topical anesthesia + counterstimulation + distraction)...
2009: Journal of Contemporary Dental Practice
Xiaopeng Zhang, Charles J Coté
We report a case of Raynaud's phenomenon (RP) triggered by transfusion of cold blood to a pediatric burn patient under general anesthesia. The child was febrile so a decision was made to not use a blood warmer. When the blood was rapidly administered the child suddenly developed 'desaturation'. The child was placed on 100% oxygen, adequate ventilation assured, and the color of his oral mucosa assessed as 'pink'. Placement of the oximeter on the opposite hand revealed 100% saturation. To our knowledge, this is the first case of apparent RP reported in a pediatric patient triggered by transfusion of cold blood...
December 2008: Paediatric Anaesthesia
Sami Berçin, Ahmet Kutluhan, Veysel Yurttaş, Kazim Bozdemir, Gökhan Yalçiner
OBJECTIVES: We compared the results of tonsillectomy performed by classical dissection and bipolar cautery dissection in pediatric patients. PATIENTS AND METHODS: A total of 201 pediatric patients were randomly assigned to two tonsillectomy groups. Ninety-five patients (62 boys, 33 girls; mean age 7+/-3 years) underwent bipolar cautery tonsillectomy, and 106 patients (58 boys, 48 girls; mean age 8+/-3 years) underwent classical dissection tonsillectomy. Patients were compared with respect to bleeding during tonsillectomy, operation time, tonsil volumes, primary and secondary bleeding, severity of pain at the first hour and on the tenth day, and time to first solid food intake...
2008: Kulak Burun Boğaz Ihtisas Dergisi: KBB, Journal of Ear, Nose, and Throat
Christine F Lauro, Raphaela Goldbach-Mansky, Margaret Schmidt, Zenaide M N Quezado
BACKGROUND: Neonatal-onset multi-system inflammatory disease (NOMID), a rare autosomal dominantly inherited disease, belongs to a growing spectrum of autoinflammatory diseases, is characterized by urticarial rash, arthropathy, and chronic aseptic meningitis, and is associated with mutations in the cold-induced autoinflammatory gene, CIAS1, the gene that encodes the protein, cryopyrin. As little is known about the anesthetic considerations of the disease, we sought to identify the main features and respective anesthetic and perioperative implications of NOMID...
August 2007: Anesthesia and Analgesia
J Rachel Homer, Tom Elwood, Do Peterson, Sally Rampersad
BACKGROUND: Recent upper respiratory infection (URI) in children increases respiratory adverse events following anesthesia for elective surgery. The increased risk continues weeks after resolution of acute URI symptoms. Few systematic analyses have explored specific risk factors. This logistic regression explores the relationship between preoperative URI symptoms and adverse events during emergence from anesthesia. METHODS: Data were combined from control groups of several prospective observational and interventional studies in elective pediatric anesthesia in a tertiary care pediatric hospital...
February 2007: Paediatric Anaesthesia
Takahiko Sakamoto, Toshihide Asou, Yuko Takeda, Kouichiro Date, Miwa Nanaumi
Development of cardiopulmonary bypass has contributed to pediatric cardiac surgery, but at the dawn of cardiac surgery, simple deep hypothermia was used to avoid the deleterious effect of cardiopulmonary bypass. Between 1981 and 1990, 45 patients with simple cardiac anomalies underwent definitive surgery under deep hypothermia. Age at operation was 35 days to 20 months, and body weight was 2.3 to 8.0 kg. Under morphine and ether anesthesia, a median sternotomy was performed when the esophageal temperature reached 26...
December 2006: Asian Cardiovascular & Thoracic Annals
Béla Tállai, Morshed Ali Salah, Tibor Flaskó, Csaba Tóth, Attila Varga
PURPOSE: To evaluate our experience and results with endopyelotomy in the pediatric population. PATIENTS AND METHODS: Between 1990 and 2002, we performed percutaneous antegrade endopyelotomy under general anesthesia in 37 children because of ureteropelvic junction (UPJ) stricture. The youngest patient was 4.5 years and the oldest 17 years at the time of the procedure (mean age 11.5 years). One patient had bilateral stenosis; the two sides were operated on separately...
December 2004: Journal of Endourology
Steven Mawhorter, Lynda Daugherty, Allison Ford, Robin Hughes, Dee Metzger, Kirk Easley
BACKGROUND: Comprehensive international travel preparation often requires several vaccines. Up to 90% of adults have some fear of injections, mostly due to injection-related pain. Pediatric studies with routine vaccines have shown topical anesthetic EMLA cream (lidocaine and prilocaine, Astra Pharmaceuticals, Inc.) and the topical vapocoolant Fluori-Methane (dichlorodifluoromethane and trichlorodifluoromethane, Gebauer Co.) to be equally effective in reducing pain from vaccinations. EMLA cream is expensive and requires a 60-min application, while Fluori-Methane (FM) is immediate in onset of action and inexpensive...
September 2004: Journal of Travel Medicine
A M Brambrink, R R Meyer, F J Kretz
Due to the special features of paediatric anatomy and physiology, the expected and unexpected difficult paediatric airway is one of the major challenges to every anaesthesiologist, paediatrician and emergency physician. During the last years, some new devices have been made available to improve airway management in children and infants, and several studies have advanced our understanding of the risks and benefits of our clinical practice. Certain risk factors for airway related problems during anaesthesia in children having a "cold" have been identified, and there are new aspects of the controversy concerning the use of cuffed endotracheal tube (ETT) in children...
2003: Anaesthesiologie und Reanimation
Bruno Jawan, Hsiang-Ning Luk, Yaw-Sen Chen, Chih-Chi Wang, Yu-Fan Cheng, Tung-Liang Huang, Hock-Liew Eng, Po-Ping Liu, King-Wah Chiu, Chao-Long Chen
The left lateral segment of the liver from an adult living donor sometimes is relatively too large for a small pediatric recipient. It currently is unknown whether a high graft-recipient body weight ratio (GRWR) has a significant effect on core temperature during the anhepatic and reperfusion phases of living donor liver transplantation (LDLT). Seventy-two pediatric patients undergoing LDLT were divided into two groups according to body weight. Group I (GI) consisted of patients with a body weight greater than 10 kg, and group II (GII), less than 10 kg...
July 2003: Liver Transplantation
C E Skoulakis, P G Doxas, C E Papadakis, E Proimos, P Christodoulou, J G Bizakis, G A Velegrakis, D Mamoulakis, E S Helidonis
OBJECTIVE: A foreign body aspiration in the tracheobronchial tree is a dangerous and common medical emergency in childhood, with serious and potentially lethal consequences. It must be suspected in children with a suggestive history, even though the clinical symptoms or radiographic findings are not pathognomonic for foreign body aspiration. METHODS: In this study 210 pediatric cases, with a suggestive history of foreign body aspiration undergoing bronchoscopy in the last 8 years in the department, were reviewed...
June 30, 2000: International Journal of Pediatric Otorhinolaryngology
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