In: Anesthesia
27 Jan 2010Thirty-three children were enrolled into this study during the week prior to the oral rehabilitation appointment. On the day of the general anesthetic/dental restoration appointment, 2 parents withdrew consent, 2 children refused to accept the OTFC lozenge, 2 children had baseline sedation scores of 3 (calm), and 1 child chewed and swallowed the formulation immediately. [...]
Thirty-three young children, scheduled for outpatient general anesthesia to permit treatment of dental caries, were enrolled in this randomized controlled clinical trial. Seven to 10 days prior to the rehabilitation appointment, the parent or guardian was invited to have their child participate in the study and, if willing, to sign the Institutional Review Board (IRB) [...]
In: Anesthesia
25 Jan 2010Oral transmucosal fentanyl citrate (OTFC) is a formulation of fentanyl citrate embedded in a sweetened matrix that dissolves in a child’s mouth. The product, marketed as a lozenge attached to a plastic holder (Fentanyl Oralet; Abbott Laboratories, Abbott Park, П1), offers pediatric patients a palatable alternative to the parenteral administration of preanesthetic sedatives. Saliva dissolves [...]
In: Anesthesia
24 Jan 2010Our results demonstrate that sevoflurane and isoflurane but not enflurane decrease Spo2 in infants receiving 67% nitrous oxide and oxygen. A preliminary study indicated that this phenomenon was not commonly observed with low concentrations of sevoflurane or isoflurane or in patients over 3 years of age.
All subjects in this investigation were free of any upper [...]
There were no significant differences among the three experimental groups with regard to age, body weight, or height (Table 1). The mean values (and standard deviations) for Spo2, heart rate, blood pressures, Petco2, and body temperature are listed in Table 2 by group and stage. In the sevoflurane and isoflurane groups, the mean Spo2 in [...]
Subjects
Seventy infants under 2 years of age without any respiratory or cardiovascular dysfunction were studied during general anesthesia for repair of a cleft lip or palate. After informed written consent was obtained from the parents, subjects were allocated randomly into 3 groups (sevoflurane group, n = 24; enflurane group, n = 26; isoflurane group, n [...]
Sevoflurane is considered to be a safe volatile anesthetic that, in usual concentrations, does not cause any severe side effects on respiration. Uptake of sevoflurane from the lung and recovery from general anesthesia are both rapid and smooth. However, we have sometimes observed slightly lower pulse oximetry (Spo2) values than expected when infants under 3 [...]
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