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Titolo:
Oropharyngeal airway diameter during sedation in children with and withoutdevelopmental delay
Autore:
Elwood, T; Hansen, LD; Seely, JM;
Indirizzi:
Childrens Hosp & Reg Med Ctr, Dept Anesthesiol, Seattle, WA 98105 USA Childrens Hosp & Reg Med Ctr Seattle WA USA 98105 , Seattle, WA 98105 USA
Titolo Testata:
JOURNAL OF CLINICAL ANESTHESIA
fascicolo: 7, volume: 13, anno: 2001,
pagine: 482 - 485
SICI:
0952-8180(200111)13:7<482:OADDSI>2.0.ZU;2-Y
Fonte:
ISI
Lingua:
ENG
Soggetto:
CEREBRAL-PALSY; PEDIATRICS; ANESTHESIA; GUIDELINES; HALOTHANE; PROPOFOL; HUMANS;
Keywords:
airway obstruction; anesthetics, intravenous; magnetic resonance imaging; pediatrics; retrospective studies; sedatives, barbiturate/adverse effects;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
20
Recensione:
Indirizzi per estratti:
Indirizzo: Elwood, T Childrens Hosp & Reg Med Ctr, Dept Anesthesiol, Mail Stop CH-05,4800 Sand Point Way NE, Seattle, WA 98105 USA Childrens Hosp & Reg Med Ctr Mail Stop CH-05,4800 Sand Point Way NE Seattle WA USA 98105
Citazione:
T. Elwood et al., "Oropharyngeal airway diameter during sedation in children with and withoutdevelopmental delay", J CLIN ANES, 13(7), 2001, pp. 482-485

Abstract

Study Objective: To determine whether children with developmental delay would have closer apposition of upper airway tissues during sedation, perhapsbecause of poor coordination of upper airway musculature. Design: Case-control and retrospective chart review. Setting: Tertiary-care pediatric teaching hospital. Patients: 40 children 3 to 6 years of age, with and without a diagnosis ofdevelopmental delay. Measurements: Subjects received only pentobarbital sedation by a protocol. Magnetic resonance imaging (MRI) scans of the head were reviewed, and transverse airway diameters at the soft palate and tongue were determined from midline sagittal images. Main Results: Age, weight, sedative dose, MRI window level, and window width were not different between patients with and without developmental delay. We found the airway diameter at the level of the soft palate was decreased 40% in children with developmental delay compared with those children without delay, 3 mm (1.4, 5.5 interquartile range) versus 5 mm (3, 8); p = 0.035, power 76%. Conclusions: The anteroposterior oropharyngeal airway diameter was smallerin children with developmental delay than in those without developmental delay, in static MRI images. It is possible that children with developmentaldelay are at higher risk for airway obstruction during sedation. (C) 2001 by Elsevier Science Inc.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 03/04/20 alle ore 20:35:20