Haemodynamic changes associated with atropine/neostigmine administration: A non-invasive investigation

SCOPUS: ar.jFLWNAinfo:eu-repo/semantics/publishe

Placement of an automatic implantable cardioverter-defibrillator in a 6- month-old infant: Anesthetic management

SCOPUS: ar.jinfo:eu-repo/semantics/publishe

Clinical and pharmacological actions of a bolus injection of suxamethonium: Two phenomena of distinct duration

SCOPUS: ar.jinfo:eu-repo/semantics/publishe

Clinical evaluation of atracurium besylate requirement for a stable muscle relaxation during surgery: Lack of age-related effects

SCOPUS: ar.jinfo:eu-repo/semantics/publishe

ANESTHESIE EN CHIRURGIE CARDIAQUE PEDIATRIQUE CHEZ L'ENFANT DE MOINS DE 10 KG

SCOPUS: NotDefined.jinfo:eu-repo/semantics/publishe

Heart block following propofol in a child

We present the case of a nine-year-old boy afflicted with Ondine's curse, who developed complete atrioventricular heart block after a single bolus of propofol for induction of anaesthesia for strabismus surgery. Ondine's curse, the other name for congenital central hypoventilation syndrome, is characterized by a generalized disorder of autonomic function. Propofol has no effect on the normal atrioventricular conduction system in humans but it reduces sympathetic activity and can highly potentiate other vagal stimulation factors. Heart block has been documented after propofol bolus use in adults but, to our knowledge, not in children. It would appear that propofol is not a good choice for anaesthesia in congenital central hypoventilation syndrome.SCOPUS: ar.jFLWINinfo:eu-repo/semantics/publishe

Remifentanil versus morphine-midazolam premedication on the quality of endotracheal intubation in neonates: A noninferiority randomized trial

Objective To compare remifentanil and morphine-midazolam for use in nonurgent endotracheal intubation in neonates. Study design In this prospective noninferiority randomized trial, newborns of gestational age ?28 weeks admitted in the neonatal intensive care unit requiring an elective or semielective endotracheal intubation were divided into 2 groups. One group (n = 36) received remifentanil (1 ?g/kg), and the other group (n = 35) received morphine (100 ?g/kg) and midazolam (50 ?g/kg) at a predefined time before intubation (different in each group), to optimize the peak effect of each drug. Both groups also received atropine (20 ?g/kg). The primary outcome was to compare the conditions of intubation, and the secondary outcome was to compare the duration of successful intubation, physiological variables, and pain scores between groups for first and second intubation attempts. Adverse events and neurologic test data were reported. Results Intubation with remifentanil was not inferior to that with morphine-midazolam. At the first attempted intubation, intubation conditions were poor in 25% of the remifentanil group and in 28.6% of the morphine-midazolam group (P =.471). For the second attempt, conditions were poor in 28.6% of the remifentanil group, compared with 10% of the morphine-midazolam group (P =.360). The median time to successful intubation was 33 seconds (IQR, 24-45 seconds) for the remifentanil group versus 36 seconds (IQR, 25-59 seconds) for the morphine-medazolam group (P =.359) at the first attempt and 45 seconds (IQR, 35-64 seconds) versus 56 seconds (IQR, 44-68 seconds), respectively, for the second attempt (P =.302). No significant between-group difference was reported for hypotension, bradycardia, or adverse events. Conclusion In our cohort, remifentanil was at least as effective as the morphine-midazolam regimen for endotracheal intubation. Thus, premedication using this very-short-acting opioid can be considered in urgent intubations and is advantageous in rapid extubation. 2014 The Authors.SCOPUS: ar.jinfo:eu-repo/semantics/publishe

Anaesthesia and orphan disease: A 26-year-old patient with achondroplasia

SCOPUS: le.jinfo:eu-repo/semantics/publishe

Epidural sufentanil combined to levobupivacaine 0.1125% for labor analgesia: A prospective randomized double-blind study

SCOPUS: cp.jinfo:eu-repo/semantics/publishe

Neurophysiologic detection of a unilateral motor deficit occuring during the non-critical phase of scoliosis surgery

info:eu-repo/semantics/publishe