Update on TIVA

Eyres, R. L.

doi:10.1111/j.1460-9592.2004.01333.x

Cited by 46 publications

(23 citation statements)

References 21 publications

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“…The up-down technique may underestimate the true variance in the population (28). The pharmacology of IV anesthetics is also different in children: larger doses are required to produce anesthesia in children (29).…”

Section: Discussionmentioning

confidence: 99%

Awareness During Anesthesia in Children: A Prospective Cohort Study

Davidson¹,

Huang²,

Czarnecki³

et al. 2005

Anesthesia &Amp; Analgesia

141

110

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During routine adult anesthesia, the risk of awareness is 0.1%-0.2%. No recent studies have reported the incidence in children. Altered pharmacology and differing anesthesia techniques suggest that the incidence may differ in children. In this prospective cohort study, we determined the incidence of awareness during anesthesia in children. Eight-hundred-sixty-four children aged 5-12 yr who had undergone general anesthesia at The Royal Children's Hospital were interviewed on 3 occasions to determine the incidence of awareness. The awareness assessment was nested within a larger study of behavior change after anesthesia. Reports of suspected awareness were sent to four independent adjudicators. If they all agreed, a case was classified as true awareness. Twenty-eight reports were generated. There were 7 cases of true awareness, for an incidence of 0.8% (95% confidence interval, 0.3%-1.7%). Only one aware child received neuromuscular blockers, compared with 12% in the nonaware group. No aware child reported distress, and no substantial difference was detected in behavior disturbance between aware (20%) and nonaware (16%) children. The data provide some evidence that, like adults, children are also at risk of intraoperative awareness. Although the cause remains unclear, anesthesiologists should be alerted to the possibility of awareness in children.

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Section: Discussionmentioning

confidence: 99%

Awareness During Anesthesia in Children: A Prospective Cohort Study

Davidson¹,

Huang²,

Czarnecki³

et al. 2005

Anesthesia &Amp; Analgesia

141

110

View full text Add to dashboard Cite

show abstract

“…1992). In humans total intravenous anesthesia has some advantages when compared to inhalant anesthesia, such as greater hemodynamic and anesthetic plane stability, and faster and more predictable recovery (Eyres 2004). Propofol commonly is used as a continuous infusion as a result of its pharmacokinetic characteristics, which allows anesthetic maintenance for prolonged periods and rapid recoveries (Flaherty et al.…”

Section: Introductionmentioning

confidence: 99%

Total intravenous anesthesia with propofol and S(+)-ketamine in rabbits

Cruz

Carregaro

Raiser

et al. 2010

Veterinary Anaesthesia and Analgesia

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“…The advantages of propofol and remifentanil, delivered intravenously, over conventional volatile anesthetic agents used in children are quicker recovery (1), reduced nausea and vomiting (2), decreased postoperative delirium (3) and less environmental pollution (4). Organ specific effects, such as reduced airway reactivity, improved postoperative ciliary function (5), maintained cerebral vascular reactivity (6), and preserved middle ear pressure (7) are significant advantages in specific clinical situations.…”

Section: Introductionmentioning

confidence: 99%