ISSN:1155-5645    

DOI:10.1111/j.1460-9592.1995.tb00303.x

出版商:Blackwell Publishing Ltd    

年代:1995

数据来源: WILEY

ISSN:1155-5645    

DOI:10.1111/j.1460-9592.1995.tb00304.x

出版商:Blackwell Publishing Ltd    

年代:1995

数据来源: WILEY

ISSN:1155-5645    

DOI:10.1111/j.1460-9592.1995.tb00305.x

出版商:Blackwell Publishing Ltd    

年代:1995

数据来源: WILEY

摘要:

SUMMARYFifty children were referred for transport to a paediatric intensive care unit (PICU). Two scoring systems were used for the transfer process. A physiology score derived from the paediatric risk of mortality (PRISM) score was performed at referral, before transfer and on arrival on PICU. An interventions score based on the therapeutic intervention scoring system (TISS) was performed for interventions by the referring staff and by the transport team before and during transfer. Critical events during transport were recorded. Three children died at the referring hospital. Forty‐seven were transported by the PICU team. No child died or suffered a major physiological deterioration or equipment related problem in transit. Physiology scores did not deteriorate during transfer. Referral physiology scores did not reliably predict the need for major therapeutic interventions by the transport team before transfer. Critically ill children may be transported safely by a specialist tea

ISSN:1155-5645    

DOI:10.1111/j.1460-9592.1995.tb00306.x

出版商:Blackwell Publishing Ltd    

年代:1995

数据来源: WILEY

摘要:

SUMMARYHealthy children, 1.5 to seven years old, were divided into three groups of 20 each. Group 1 received midazolam 0.5 mg·kg‐1, Group 2, ketamine 6 mg·kg‐1and Group 3 a mixture of midazolam 0.4 mg·kg‐1+ ketamine 4 mg·kg‐1. Each dose was mixed with atropcne 0.02 mg·kg‐1plus an equal volume of cherry syrup and was given orally 20 to 30 min prior to surgery. A grade of 1 (asleep, difficult to arouse), 2 (asleep, easily aroused), 3 (awake, calm), 4 (awake, anxious, occasional cry), or 5 (crying, agitated), was assigned at the time of parental separation and again when mask induction was begun. A grade of 1–3 was considered successful. For parental separation, the mixture of ketamine + midazolam was 100% successful, ketamine 90% and midazolam 75%. Successful mask induction for the mixture of ketamine + midazolam was 85%, midazolam 65% and ketamine 42%. This study indicates that a mixture of ketamine + midazolam is th

ISSN:1155-5645    

DOI:10.1111/j.1460-9592.1995.tb00307.x

出版商:Blackwell Publishing Ltd    

年代:1995

数据来源: WILEY

ISSN:1155-5645    

DOI:10.1111/j.1460-9592.1995.tb00308.x

出版商:Blackwell Publishing Ltd    

年代:1995

数据来源: WILEY

摘要:

SUMMARYWe compared the rates of elimination of sevoflurane and halothane in 29 children, aged between one and seven years, undergoing ambulatory anaesthesia. Analgesia was provided by fentanyl and muscle relaxation by atracurium. Anaesthesia was maintained by inhalation of one MAC of either sevoflurane or halothane, based on an equipotent concentration of each agent for the age of the child. Following simultaneous discontinuation of N2O and the inhalational agent, the equation describing N2O washout was identical in the presence of halothane and sevoflurane, showing that there was no effect of the volatile agent on the rate of N2O elimination. The elimination of sevoflurane and N2O give similar types of equations. Halothane elimination gives a logarithmic type of equation, showing a slower release, corresponding to residual tissue content.

ISSN:1155-5645    

DOI:10.1111/j.1460-9592.1995.tb00309.x

出版商:Blackwell Publishing Ltd    

年代:1995

数据来源: WILEY

ISSN:1155-5645    

DOI:10.1111/j.1460-9592.1995.tb00310.x

出版商:Blackwell Publishing Ltd    

年代:1995

数据来源: WILEY

摘要:

SUMMARYThe study describes long term ventilatory effects of 50 or 100 μg·kg‐1of morphine or 1.5 or 3.0 μg·kg‐1of buprenorphine when given in repeated intravenous (i.v.) doses, in a double blind fashion, to achieve equal levels of analgesia after thoracotomy. The patients were 56 children, six months to six years of age. Ventilatory rate (VR) was measured over the 24 h study period, and arterial carbon dioxide tension (Paco2) was measured on arrival in the Paediatric Intensive Care Unit (PICU) and at 1, 6, 12 and 18 h. In the buprenorphine groups VRs progressively decreased during the first 2 h and remained significantly lower (P<0.05) than in the morphine groups for 7 h. For the rest of the study period there were no differences. ThePaco2values did not differ significantly at any point. For safety, prolonged observation of children is needed after intravenous administration of buprenorphine to ensure the ventilatory rate has sta

ISSN:1155-5645    

DOI:10.1111/j.1460-9592.1995.tb00311.x

出版商:Blackwell Publishing Ltd    

年代:1995

数据来源: WILEY

ISSN:1155-5645    

DOI:10.1111/j.1460-9592.1995.tb00312.x

出版商:Blackwell Publishing Ltd    

年代:1995

数据来源: WILEY