The incidence of inguinal hernia is higher in premature infants, particularly low birth weight neonates. This latter group may also incur increased postoperative respiratory complications and inpatient admissions. purpose this study was to compare the effects general spinal anaesthesia on morbidity length hospital stay high‐risk infants undergoing herniorrhaphy. Forty patients, all who underwent unilateral or bilateral herniorrhaphies, were randomly assigned receive ( n = 20) 20). There a...

The ProSeal Laryngeal Mask Airway (PLMA) (Laryngeal Company, Henley-on-Thames, United Kingdom) is a new laryngeal mask with modified cuff designed to improve its seal and drain tube for gastric placement. Similarly, the Tube Suction (LTS) (VBM Medizintechnik Gmbh, Sulz a.N, Germany) that also has an additional channel This study compared placement functions of these two devices.One hundred fifty patients undergoing general anesthesia elective surgery were randomly allocated PLMA (n = 75) or...

We tested whether a high spinal anesthesia may alter the susceptibility to soporific effects of sedatives.Twenty ASA grade I and II women undergoing elective abdominal hysterectomy were randomly allocated into two groups. Patients in Group given subarachnoid injection 12 mg hyperbaric tetracaine those patients who after 10 min had sensory level T4-6 (10 patients) included study. Ten additional (Group II) received no injection. Induction was performed on all by injecting 1 midazolam...

This study compares the anti-emetic effect of acupuncture with that ondansetron and a placebo. Ninety children undergoing dental treatment under general anaesthesia were randomly allocated to one three equal groups, receive needle insertion, intravenous 0.15 mg x kg(-1) or Parental satisfaction scores incidence emetic episodes recorded. A significant difference was found in number patients who vomited total when comparing two groups placebo group (p < 0.0001). also between respect parental...

The Combitube has proved to be a valuable device for securing the airway in cases of difficult intubation. This study investigated effectiveness elective surgery during both mechanical and spontaneous ventilation.Two hundred patients classified as American Society Anesthesiologists physical status I II, with normal airways, scheduled were randomly allocated into two groups: nonparalyzed, spontaneously breathing (n = 100); or paralyzed, mechanically ventilated 100). After induction general...

Both mandibular advancement (MA) and stimulation of the genioglossus (GG) have been shown to improve upper airway patency, but neither one achieves effect continuous positive pressure (CPAP) treatment. In present study we assessed combined MA GG on relaxed pharynx in patients with obstructive sleep apnea (OSA). We evaluated responses pressure-flow relationships endoscopically determined pharyngeal cross-sectional area electrical 14 propofol-anesthetized OSA patients. Measurements were...

Chronic stimulation of the hypoglossus nerve may provide a new treatment modality for obstructive sleep apnoea (OSA). In previous studies we observed large differences in response to genioglossus (GG). We hypothesised that both individual patient characteristics and area GG stimulated are responsible these differences. present study, compared electrical at anterior (GGa-ES), which activates whole posterior (GGp-ES), preferentially longitudinal fibres. Studies were performed 14...

Summary We report a catastrophic postoperative complication of prolonged interscalene block performed under general anaesthesia. The course the anaesthetic was uneventful and patient remained stable during his stay in recovery area with operative extremity paralysed insensate. No further local administered until later that day when received 10 ml bupivacaine 0.25% through catheter. Upon completion top‐up dose, no change patient’s status noticed. next assessed 6.5 h he found dead bed. A...

Pharyngeal collapsibility during sleep is believed to increase due a decline in dilator muscle activity. However, genioglossus electromyogram (EMG) often increases apnoeas and hypopnoeas, without mechanical effect. 17 patients with obstructive apnoea were anaesthetised evaluated from termination of propofol administration awakening. Genioglossus EMG, flow pharyngeal area (pharyngoscopy) monitored. Prolonged hypopnoeas enabled evaluation the relationships between EMG events, before after...

In order to compare and evaluate bilateral inferior turbinectomy (BIT) submucosal diathermy (SMD), we retrospectively examined these two well-known techniques for treatment of nasal obstruction due congestion the turbinates. One hundred patients with were divided into 4 groups according their airflow patency. Forty-nine underwent BIT, 51 SMD. All 100 followed 2 months after surgery. Patients difficult postoperative courses up 1 year surgery, in decide on necessity operative revision....

The Laryngeal Mask (LMA) Unique and the Cobra Perilaryngeal Airway (PLA) are single-use supraglottic devices. There no published studies comparing these devices during spontaneous ventilation. We compared LMA PLA with respect to 1) ventilatory variables ventilation, 2) time achieve an effective airway, 3) airway intervention requirements, 4) cuff seal pressures, 5) fiberoptic score, 6) perioperative adverse events. Eighty adult ASA physical status I-II patients undergoing general anesthesia...

The relative impact of mechanical factors on pharyngeal patency in patients with obstructive sleep apnea is poorly understood. present study was designed to evaluate parameters the "tube law" pressure-flow relationships and collapsibility apnea. We developed a mathematical model that considered collapsible segment pharynx represent an orifice varying diameter. enabled us assess effects compliance (C), neutral cross-sectional area (A(o)), external peripharyngeal pressure (P(ex)), resistance...

International Journal of Paediatric Dentistry 2012; 22: 271–279 Background. Midazolam sedation poses a significant dilemma in paediatric dentistry, which is to find out the optimal dosing with minimal undesirable adverse events. In this study, we aimed compare effect three doses oral midazolam (0.5, 0.75, and 1 mg/kg) on sedative state cooperative behaviour children during dental treatment. We further compared completion rates, parent satisfaction, all Design. Ninety aged 3–10 years were...

This study compares the anti‐emetic effect of acupuncture with that ondansetron and a placebo. Ninety children undergoing dental treatment under general anaesthesia were randomly allocated to one three equal groups, receive needle insertion, intravenous 0.15 mg.kg −1 or Parental satisfaction scores incidence emetic episodes recorded. A significant difference was found in number patients who vomited total when comparing two groups placebo group (p &lt; 0.0001). also between respect parental...

The objective of this paper is to determine whether or not epidural analgesia an independent risk factor for intrapartum fever. Maternal temperature was measured every 4 h during labor 1004 consecutive women in term labor. Women with fever on antibiotics were excluded. Epidural administered upon patients' request. Of the 406 (40%) who received analgesia, 11.8% (n = 48) developed a > 37.8 degrees C compared only 0.2% 1) receiving analgesia. more likely have one factors infection. Their and...

The concept that local infiltration of the operative area with a anesthetic when using general anesthesia could alleviate postoperative pain is well known. We tested this on 129 patients scheduled for elective tonsillectomy. were investigated in double-blind, randomized study, and operation was carried out via standard technique infiltrating peritonsillar preoperatively. results indicated preincisional tonsils bupivacaine hydrochloride markedly decreased intensity following tonsillectomy,...

Combined spinal-epidural anesthesia (CSE-A) is reportedly safe and effective for the pediatric population in infraumbilical surgery. Our main purpose was to describe our experience of this technique neonates infants undergoing elective major upper abdominal surgery.Spinal performed 28 with isobaric bupivacaine 0.5%, 1 mg.kg(-1) followed by placement a caudal epidural catheter thoracic spinal segments. The tip position confirmed radiographically. Respiratory hemodynamic data were collected...

Hypertrophic pyloric stenosis is a relatively common disorder of the gastrointestinal tract in infancy, causing projectile vomiting and metabolic abnormalities. Surgical management form pyloromyotomy under general anaesthesia has been reported as safe for relieving obstructed bowel. A number studies have demonstrated advantages spinal over high risk infants undergoing minor infraumbilical surgery. The purpose this study was to evaluate an alternative option pyloromyotomy.Twenty-five were...