In adults and children undergoing general anesthesia, how does spectral entropy monitoring affect outcomes?

2016 ◽  
Author(s):  
Anjolie Chhabra ◽  
Rajeshwari Subramaniam ◽  
Anurag Srivastava ◽  
Hemanshu Prabhakar ◽  
Mani Kalaivani

PEDIATRICS ◽  
1995 ◽  
Vol 95 (3) ◽  
pp. 454-454
Author(s):  
Robert K. Williams

Use of the laryngeal mask airway (LMA) has grown considerably over the past few years in both adults and children.1,2 The LMA may have special benefits in the management of severe airway problems and the American Society of Anesthesiologists have incorporated its potential use into its algorithm on management of the difficult airway.3 Recently, its use in resuscitation of neonates has been advocated.4,5 I have used the LMA in my practice of pediatric anesthesia and have generally been pleased with its performance in spontaneously breathing patients under general anesthesia.


Author(s):  
Debarun David ◽  
Dhanraj Ganapathy

Ketamine has been used as a safe and effective sedative to treat adults and children exhibiting high levels of anxiety or fear during dental treatment. Pediatric dentistry often involves patients with high levels of anxiety and fear and possibly a few positive dental experiences. Patient management can involve behavioral approaches, as well as the use of sedation or general anesthesia with a variety of agents, including ketamine. The aim of this study was to assess the knowledge and awareness of ketamine as an anesthetic among dental students. A questionnaire survey was carried out online containing 10 questions that were sent to 100 dental students through survey planet software and the data was collected and statistically analysed. 74% of the students were aware about the uses and adverse effects of ketamine .Within the limits of this study, it may be concluded that most of the students were aware of ketamine as an anesthetic.


2011 ◽  
Vol 25 (2) ◽  
pp. 95-103 ◽  
Author(s):  
Tadeusz Musialowicz ◽  
Pasi Lahtinen ◽  
Otto Pitkänen ◽  
Jouni Kurola ◽  
Ilkka Parviainen

Author(s):  
Anjolie Chhabra ◽  
Rajeshwari Subramaniam ◽  
Anurag Srivastava ◽  
Hemanshu Prabhakar ◽  
Mani Kalaivani ◽  
...  

2005 ◽  
Vol 114 (10) ◽  
pp. 749-756 ◽  
Author(s):  
Jochen P. Windfuhr ◽  
Jens C. Deck ◽  
Stephan Remmert

Objectives: We performed a prospective study to evaluate the incidence of post-tonsillectomy hemorrhage (PTH) in adults and children who underwent Coblation tonsillectomy (CTE) under general anesthesia. Methods: The data of 63 adults and children (mean age, 21.8 years) were analyzed. Results: There were 7 episodes of considerable bleeding (11.1%) that required surgical treatment under general anesthesia in 6 patients, of whom 5 experienced secondary bleeding (>24 hours). Moreover, bleeding and massive swelling of the pharynx required surgical treatment and prolonged intubation (35 hours) in 1 patient. None of the patients received blood transfusions. There was no case with a lethal outcome. Less intense bleeding (clots; blood-tinged sputum) was observed in 17 patients (27%) who required readmission or prolonged inpatient observation, 1 of whom had previously undergone surgical treatment of PTH. However, these 17 patients had an uneventful clinical course. In total, 22 patients experienced minor or major forms of PTH (34.9%). Conclusions: At least in our hands, CTE dramatically increased the frequency of PTH. The high rate of secondary bleeding contrasts with our documented experience using conventional methods, ie, cold dissection and suture ligation, to achieve hemostasis (7.9% with CTE versus <0.8% with conventional methods). Therefore, at our institution, tonsillectomy with conventional instruments remains the method of choice.


1991 ◽  
Vol 34 (3) ◽  
pp. 671-678 ◽  
Author(s):  
Joan E. Sussman

This investigation examined the response strategies and discrimination accuracy of adults and children aged 5–10 as the ratio of same to different trials was varied across three conditions of a “change/no-change” discrimination task. The conditions varied as follows: (a) a ratio of one-third same to two-thirds different trials (33% same), (b) an equal ratio of same to different trials (50% same), and (c) a ratio of two-thirds same to one-third different trials (67% same). Stimuli were synthetic consonant-vowel syllables that changed along a place of articulation dimension by formant frequency transition. Results showed that all subjects changed their response strategies depending on the ratio of same-to-different trials. The most lax response pattern was observed for the 50% same condition, and the most conservative pattern was observed for the 67% same condition. Adult response patterns were most conservative across condition. Differences in discrimination accuracy as measured by P(C) were found, with the largest difference in the 5- to 6-year-old group and the smallest change in the adult group. These findings suggest that children’s response strategies, like those of adults, can be manipulated by changing the ratio of same-to-different trials. Furthermore, interpretation of sensitivity measures must be referenced to task variables such as the ratio of same-to-different trials.


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