1
40
9
-
Text
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<a href="http://doi.org/10.1111/j.1460-9592.2006.02002.x" target="_blank" rel="noreferrer">http://doi.org/10.1111/j.1460-9592.2006.02002.x</a>
Dublin Core
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Title
A name given to the resource
Sedation for children with metachromatic leukodystrophy undergoing MRI
Publisher
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Paediatric Anaesthesia
Date
A point or period of time associated with an event in the lifecycle of the resource
2007
Subject
The topic of the resource
Child; Female; Humans; Male; Prospective Studies; Treatment Outcome; Reference Values; Preschool; Dose-Response Relationship; Drug; Brain/anatomy & histology/pathology; Seizures/complications/diagnosis; Leukodystrophy; Anesthesia/adverse effects/methods; Artifacts; Hypnotics and Sedatives/adverse effects/therapeutic use; Magnetic Resonance Imaging/methods; Metachromatic/complications/diagnosis; Propofol/adverse effects/therapeutic use; Thiopental/adverse effects/therapeutic use
Creator
An entity primarily responsible for making the resource
Mattioli C; Gemma M; Baldoli C; Sessa M; Albertin A; Beretta L
Description
An account of the resource
BACKGROUND: Metachromatic leukodystrophy (MLD) is a lysosomal storage disease with infantile and juvenile onset with a poor prognosis and magnetic resonance imaging (MRI) plays a fundamental role in its diagnosis. Procedural sedation is needed to carry out MRI on children. Very few case reports have been published on anesthesia or sedation for MLD patients. METHODS: We prospectively studied 18 MLD patients undergoing sedation for brain MRI. Twenty consecutive similar-aged ASA I children undergoing MRI during the same time span for suspected seizures and exhibiting no MRI brain alteration healthy (HLT) patients were also studied for comparison. In patients up to 3 years of age (TMLD and THLT groups), sedation was induced with thiopental 5 mg x kg(-1) i.v. and further 2.5 mg x kg(-1) i.v. rescue boluses were given if the sedation level was inadequate. In patients over 3 years of age (PMLD and PHLT groups), sedation was induced with propofol 1-1.5 mg x kg(-1) i.v. and maintained with 0.1-0.15 mg x kg(-1) x min(-1) continuous i.v. infusion, which was increased if the sedation level was inadequate. We recorded complications, if any, caused by sedation (hypoxia, vomiting, bradycardia, other major arrhythmias, convulsions, MRI artifact movements with increasing sedation, prolonged recovery). Results: No sedation complications occurred. The mean dose of thiopental required to warrant patient immobility was 0.227 +/- 0.053 mg x kg(-1) x min(-1) of procedure in TMLD patients and 0.119 +/- 0.061 mg x kg(-1) x min(-1) of procedure in THLT patients (difference not significant). The mean dose of propofol required for immobility was 0.119 +/- 0.054 mg x kg(-1) x min(-1) of procedure in TMLD patients and 0.115 +/- 0.043 mg x kg(-1) x min(-1) of procedure in THLT patients (difference not significant). CONCLUSIONS: Our protocol for sedation in the MRI setting proved safe and effective in children with MLD, who do not require different doses of sedatives compared with healthy children.
2007
Identifier
An unambiguous reference to the resource within a given context
<a href="http://doi.org/10.1111/j.1460-9592.2006.02002.x" target="_blank" rel="noreferrer">10.1111/j.1460-9592.2006.02002.x</a>
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Article information provided for research and reference use only. PedPalASCNET does not hold any rights over the resource listed here. All rights are retained by the journal listed under publisher and/or the creator(s).
Type
The nature or genre of the resource
Journal Article
2007
Albertin A
Anesthesia/adverse effects/methods
Artifacts
Backlog
Baldoli C
Beretta L
Brain/anatomy & histology/pathology
Child
Dose-Response Relationship
Drug
Female
Gemma M
Humans
Hypnotics and Sedatives/adverse effects/therapeutic use
Journal Article
Leukodystrophy
Magnetic Resonance Imaging/methods
Male
Mattioli C
Metachromatic/complications/diagnosis
Paediatric Anaesthesia
Preschool
Propofol/adverse effects/therapeutic use
Prospective Studies
Reference Values
Seizures/complications/diagnosis
Sessa M
Thiopental/adverse effects/therapeutic use
Treatment Outcome
-
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
Citation List Month
Backlog
URL Address
<a href="http://doi.org/10.1111/j.1460-9592.2006.02182.x" target="_blank" rel="noreferrer">http://doi.org/10.1111/j.1460-9592.2006.02182.x</a>
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Title
A name given to the resource
Apnea in a child after oral codeine: a genetic variant - an ultra-rapid metabolizer
Publisher
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Paediatric Anaesthesia
Date
A point or period of time associated with an event in the lifecycle of the resource
2007
Creator
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Voronov P; Przybylo HJ; Jagannathan N
Description
An account of the resource
We present a case of a 29 months old previously healthy child who experienced apnea resulting in brain injury following a dose of acetaminophen and codeine 2 days after an uneventful anesthetic for tonsillectomy. A genetic polymorphism leading to ultra-rapid metabolism of codeine into morphine resulted in narcosis and apnea. This paper discusses the use of codeine for pain relief, obstructive sleep apnea, the alteration of the CYP2D6 gene and the resulting effect on drug metabolism.
2007
Identifier
An unambiguous reference to the resource within a given context
<a href="http://doi.org/10.1111/j.1460-9592.2006.02182.x" target="_blank" rel="noreferrer">10.1111/j.1460-9592.2006.02182.x</a>
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Article information provided for research and reference use only. PedPalASCNET does not hold any rights over the resource listed here. All rights are retained by the journal listed under publisher and/or the creator(s).
Type
The nature or genre of the resource
Journal Article
2007
Backlog
Jagannathan N
Journal Article
Paediatric Anaesthesia
Przybylo HJ
Voronov P
-
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
Citation List Month
Backlog
URL Address
<a href="http://doi.org/10.1111/j.1460-9592.2006.01918.x" target="_blank" rel="noreferrer">http://doi.org/10.1111/j.1460-9592.2006.01918.x</a>
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Title
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Abdominal pain related to mitochondrial neurogastrointestinal encephalomyopathy syndrome may benefit from splanchnic nerve blockade
Publisher
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Paediatric Anaesthesia
Date
A point or period of time associated with an event in the lifecycle of the resource
2006
Subject
The topic of the resource
Humans; Male; Magnetic Resonance Imaging; Nerve Block; Anesthetics; adolescent; Electromyography; Neurologic Examination; Analgesics/therapeutic use; Local; Amines/therapeutic use; Cyclohexanecarboxylic Acids/therapeutic use; gamma-Aminobutyric Acid/therapeutic use; Abdominal Pain/etiology/therapy; Gastrointestinal Diseases/complications/radiography; Mitochondrial Encephalomyopathies/complications/radiography; Paresthesia/etiology; Prilocaine; Splanchnic Nerves
Creator
An entity primarily responsible for making the resource
Celebi N; Sahin A; Canbay O; Uzumcugil F; Aypar U
Description
An account of the resource
Patients diagnosed with abdominal pain related to mitochondrial neurogastrointestinal encephalopathy (MNGIE) may benefit from splanchnic nerve blockade. MNGIE, varying in age of onset and rate of progression, is caused by loss of function mutation in thymidine phosphorylase gene. Gastrointestinal dysmotility, pseudo-obstruction and demyelinating sensorimotor peripheral neuropathy (stocking-glove sensory loss, absent tendon reflexes, distal limb weakness, and wasting) are the most prominent manifestations. Patients usually die in early adulthood (mean 37.6 years; range 26-58 years). We report a case of an 18-year-old patient with MNGIE. Our patient's abdominal pain was relieved after splanchnic nerve blockade.
2006
Identifier
An unambiguous reference to the resource within a given context
<a href="http://doi.org/10.1111/j.1460-9592.2006.01918.x" target="_blank" rel="noreferrer">10.1111/j.1460-9592.2006.01918.x</a>
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Article information provided for research and reference use only. PedPalASCNET does not hold any rights over the resource listed here. All rights are retained by the journal listed under publisher and/or the creator(s).
Type
The nature or genre of the resource
Journal Article
2006
Abdominal Pain/etiology/therapy
Adolescent
Amines/therapeutic use
Analgesics/therapeutic use
Anesthetics
Aypar U
Backlog
Canbay O
Celebi N
Cyclohexanecarboxylic Acids/therapeutic use
Electromyography
gamma-Aminobutyric Acid/therapeutic use
Gastrointestinal Diseases/complications/radiography
Humans
Journal Article
Local
Magnetic Resonance Imaging
Male
Mitochondrial Encephalomyopathies/complications/radiography
Nerve Block
Neurologic Examination
Paediatric Anaesthesia
Paresthesia/etiology
Prilocaine
Sahin A
Splanchnic Nerves
Uzumcugil F
-
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
Citation List Month
Backlog
URL Address
<a href="http://doi.org/10.1046/j.1460-9592.2002.00768.x" target="_blank" rel="noreferrer">http://doi.org/10.1046/j.1460-9592.2002.00768.x</a>
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The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
Epidermolysis bullosa in children: pathophysiology, anaesthesia and pain management
Publisher
An entity responsible for making the resource available
Paediatric Anaesthesia
Date
A point or period of time associated with an event in the lifecycle of the resource
2002
Subject
The topic of the resource
Child; Humans; Preschool; infant; Anesthesia; General/adverse effects; Pain/drug therapy/physiopathology; Epidermolysis Bullosa/drug therapy/physiopathology
Creator
An entity primarily responsible for making the resource
Herod J; Denyer J; Goldman A; Howard R
Identifier
An unambiguous reference to the resource within a given context
<a href="http://doi.org/10.1046/j.1460-9592.2002.00768.x" target="_blank" rel="noreferrer">10.1046/j.1460-9592.2002.00768.x</a>
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Article information provided for research and reference use only. PedPalASCNET does not hold any rights over the resource listed here. All rights are retained by the journal listed under publisher and/or the creator(s).
Type
The nature or genre of the resource
Journal Article
Description
An account of the resource
2002
2002
Anesthesia
Backlog
Child
Denyer J
Epidermolysis Bullosa/drug therapy/physiopathology
General/adverse effects
Goldman A
Herod J
Howard R
Humans
Infant
Journal Article
Paediatric Anaesthesia
Pain/drug therapy/physiopathology
Preschool
-
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
Citation List Month
Backlog
URL Address
<a href="http://doi.org/10.1046/j.1460-9592.1999.00384.x" target="_blank" rel="noreferrer">http://doi.org/10.1046/j.1460-9592.1999.00384.x</a>
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
Efficacy and complications of morphine infusions in postoperative paediatric patients
Publisher
An entity responsible for making the resource available
Paediatric Anaesthesia
Date
A point or period of time associated with an event in the lifecycle of the resource
1999
Subject
The topic of the resource
Child; Female; Humans; Male; Pain; Analgesics; Follow-Up Studies; Confidence Intervals; Incidence; Acute Disease; adolescent; Preschool; infant; retrospective studies; Infusions; Intravenous; Opioid/administration & dosage/adverse effects/therapeutic use; Morphine/administration & dosage/adverse effects/therapeutic use; Postoperative/prevention & control; Respiration/drug effects; Akathisia; Analgesia/nursing; Anesthesia Recovery Period; Anoxemia/chemically induced; Arousal/drug effects; Drug-Induced/etiology; Postoperative Nausea and Vomiting/chemically induced; Pruritus/chemically induced; Urinary Retention/chemically induced
Creator
An entity primarily responsible for making the resource
Esmail Z; Montgomery C; Courtrn C; Hamilton D; Kestle J
Description
An account of the resource
The aim of the study was to evaluate the efficacy and the incidence of clinically significant adverse drug reactions (ADRs) in paediatric patients receiving continuous intravenous morphine infusions for acute postoperative pain. Definitions were established for ADRs and data were collected in an immediately retrospective fashion for a maximum of 72 h in 110 patients >/=5 three months of age (0.3-16.7 years) receiving morphine infusions and admitted to a general ward over a three month convenience sampling period. Inadequate analgesia occurred in 65.5% of patients during the first 24 h of therapy and occurred most frequently in patients with infusion rates of 20 microg.kg-1.h-1 or less. Nausea/vomiting was the most commonly experienced ADR (42.5%). The incidence of respiratory depression was 0% (95% CI=0-3.3%). Other ADRs included: urinary retention (13.5%), pruritus (12.7%), dysphoria (7.3%), hypoxaemia (4.5%), discontinuation of morphine for treatment of an ADR (3.6%), and difficulty in arousal (0.9%). The most common ADRs associated with morphine infusions were inadequate analgesia (in the first 24 h) and nausea/vomiting. There were no cases of respiratory depression. Methods of avoiding initial inadequate analgesia and treating nausea and vomiting associated with morphine infusions are needed.
1999
Identifier
An unambiguous reference to the resource within a given context
<a href="http://doi.org/10.1046/j.1460-9592.1999.00384.x" target="_blank" rel="noreferrer">10.1046/j.1460-9592.1999.00384.x</a>
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Article information provided for research and reference use only. PedPalASCNET does not hold any rights over the resource listed here. All rights are retained by the journal listed under publisher and/or the creator(s).
Type
The nature or genre of the resource
Journal Article
1999
Acute Disease
Adolescent
Akathisia
Analgesia/nursing
Analgesics
Anesthesia Recovery Period
Anoxemia/chemically induced
Arousal/drug effects
Backlog
Child
Confidence Intervals
Courtrn C
Drug-Induced/etiology
Esmail Z
Female
Follow-up Studies
Hamilton D
Humans
Incidence
Infant
Infusions
Intravenous
Journal Article
Kestle J
Male
Montgomery C
Morphine/administration & dosage/adverse effects/therapeutic use
Opioid/administration & dosage/adverse effects/therapeutic use
Paediatric Anaesthesia
Pain
Postoperative Nausea and Vomiting/chemically induced
Postoperative/prevention & control
Preschool
Pruritus/chemically induced
Respiration/drug effects
Retrospective Studies
Urinary Retention/chemically induced
-
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
Citation List Month
Backlog
URL Address
<a href="http://doi.org/10.1046/j.1460-9592.2001.00659.x" target="_blank" rel="noreferrer">http://doi.org/10.1046/j.1460-9592.2001.00659.x</a>
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
Postoperative epidural analgesia with bupivacaine and fentanyl: hourly pain assessment in 348 paediatric cases
Publisher
An entity responsible for making the resource available
Paediatric Anaesthesia
Date
A point or period of time associated with an event in the lifecycle of the resource
2001
Subject
The topic of the resource
Child; Female; Humans; infant; Male; Pain; Analgesics; Prospective Studies; Analgesia; Anesthetics; adolescent; Preschool; infant; Newborn; Pain Measurement/drug effects; Opioid/administration & dosage/adverse effects/therapeutic use; Sleep/drug effects; Postoperative/drug therapy; Bupivacaine/administration & dosage/adverse effects/therapeutic use; Epidural/adverse effects; Fentanyl/administration & dosage/adverse effects/therapeutic use; Local/administration & dosage/adverse effects/therapeutic use
Creator
An entity primarily responsible for making the resource
Lejus C; Surbled M; Schwoerer D; Renaudin M; Guillaud C; Berard L; Pinaud M
Description
An account of the resource
BACKGROUND: The objective of this prospective study was the evaluation of the analgesia provided by an epidural infusion of bupivacaine and fentanyl after different types of surgery in children. METHODS: Data were collected from 348 epidural analgesia in 87 children below 2 years of age, in 80 children between 2 and 6 years and 181 above 6 years of age, for a median duration of 43 postoperative hours. Bupivacaine (mean concentration 0.185%) and fentanyl (5 microg.kg-1.day-1) were administered on the surgical ward. RESULTS: Pain control was considered excellent in 86% of the 11 072 pain hourly assessments. Analgesia was found to be better for children older than 2 years, and the overall quality of their night's sleep was better than that of older children. Higher pain scores were noted for Nissen fundoplication surgery and club foot repairs. Early discontinuation rarely occurred, and only because of technical problems with the epidural catheter (4%) or insufficient analgesia (6%). Complications were minor (nausea/vomiting 14%, pruritus 0.6%, urinary retention 17%) and easily reversed. CONCLUSIONS: This combination of bupivacaine-fentanyl provides safe analgesia after major surgery in children with frequent clinical monitoring. Regular pain assessments of intensity and duration are useful to improve the quality of postoperative analgesia.
2001
Identifier
An unambiguous reference to the resource within a given context
<a href="http://doi.org/10.1046/j.1460-9592.2001.00659.x" target="_blank" rel="noreferrer">10.1046/j.1460-9592.2001.00659.x</a>
Rights
Information about rights held in and over the resource
Article information provided for research and reference use only. PedPalASCNET does not hold any rights over the resource listed here. All rights are retained by the journal listed under publisher and/or the creator(s).
Type
The nature or genre of the resource
Journal Article
2001
Adolescent
Analgesia
Analgesics
Anesthetics
Backlog
Berard L
Bupivacaine/administration & dosage/adverse effects/therapeutic use
Child
Epidural/adverse effects
Female
Fentanyl/administration & dosage/adverse effects/therapeutic use
Guillaud C
Humans
Infant
Journal Article
Lejus C
Local/administration & dosage/adverse effects/therapeutic use
Male
Newborn
Opioid/administration & dosage/adverse effects/therapeutic use
Paediatric Anaesthesia
Pain
Pain Measurement/drug effects
Pinaud M
Postoperative/drug therapy
Preschool
Prospective Studies
Renaudin M
Schwoerer D
Sleep/drug effects
Surbled M
-
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
Citation List Month
Backlog
URL Address
<a href="http://doi.org/10.1046/j.1460-9592.2001.00697.x" target="_blank" rel="noreferrer">http://doi.org/10.1046/j.1460-9592.2001.00697.x</a>
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
Unlicensed and off label analgesic use in paediatric pain management
Publisher
An entity responsible for making the resource available
Paediatric Anaesthesia
Date
A point or period of time associated with an event in the lifecycle of the resource
2001
Subject
The topic of the resource
Child; Humans; Great Britain; Drug Utilization; Prospective Studies; Hospitals; Pediatric; Pain/drug therapy; Analgesics/therapeutic use; Drug Approval
Creator
An entity primarily responsible for making the resource
Conroy S; Peden V
Description
An account of the resource
BACKGROUND: The management of pain in children has advanced enormously in recent years. Pharmacological treatment of pain is complicated however, by the widespread use of unlicensed and off label medicines in the paediatric population, leading to everyday practical problems. This study aimed to document the incidence and nature of unlicensed and off label analgesic agents in children. METHODS: Data regarding analgesic use were collected prospectively over a 4-week period from two wards. The data were analysed to determine whether the drug use was licensed, unlicensed or off label. RESULTS: Seven hundred and fifteen prescription episodes were analysed. Some 480 of these (67%) were licensed; 235 were licensed medicines used in an off label manner (33%). No medicines were unlicensed. Paracetamol was the most common analgesic used. CONCLUSION: Issues regarding the use of off label drugs in children at risk of pain are discussed. Suggestions are made regarding the way forward for the future.
2001
Identifier
An unambiguous reference to the resource within a given context
<a href="http://doi.org/10.1046/j.1460-9592.2001.00697.x" target="_blank" rel="noreferrer">10.1046/j.1460-9592.2001.00697.x</a>
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Article information provided for research and reference use only. PedPalASCNET does not hold any rights over the resource listed here. All rights are retained by the journal listed under publisher and/or the creator(s).
Type
The nature or genre of the resource
Journal Article
2001
Analgesics/therapeutic use
Backlog
Child
Conroy S
Drug Approval
Drug Utilization
Great Britain
Hospitals
Humans
Journal Article
Paediatric Anaesthesia
Pain/drug Therapy
Peden V
Pediatric
Prospective Studies
-
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
Citation List Month
Backlog
URL Address
<a href="http://doi.org/10.1046/j.1460-9592.2001.00701.x" target="_blank" rel="noreferrer">http://doi.org/10.1046/j.1460-9592.2001.00701.x</a>
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
Review of ethics in paediatric anaesthesia: intensive care issues
Publisher
An entity responsible for making the resource available
Paediatric Anaesthesia
Date
A point or period of time associated with an event in the lifecycle of the resource
2001
Subject
The topic of the resource
Child; Humans; Intensive Care Units; Withholding Treatment; Ethics; Third-Party Consent; Clinical; ICU Decision Making; Anesthesiology/legislation & jurisprudence; Brain Death/diagnosis; Pediatric/legislation & jurisprudence; Tissue Donors/legislation & jurisprudence
Creator
An entity primarily responsible for making the resource
Edgar J; Morton NS; Pace NA
Description
An account of the resource
This is the third of a series of three articles examining the recent changes in the law in relation to ethics and the practice of paediatric anaesthesia. The review covers, in a practical question and answer format, the topics of consent, research, intensive care issues and organ donation in children.
2001
Identifier
An unambiguous reference to the resource within a given context
<a href="http://doi.org/10.1046/j.1460-9592.2001.00701.x" target="_blank" rel="noreferrer">10.1046/j.1460-9592.2001.00701.x</a>
Rights
Information about rights held in and over the resource
Article information provided for research and reference use only. PedPalASCNET does not hold any rights over the resource listed here. All rights are retained by the journal listed under publisher and/or the creator(s).
Type
The nature or genre of the resource
Journal Article
2001
Anesthesiology/legislation & jurisprudence
Backlog
Brain Death/diagnosis
Child
Clinical
Edgar J
Ethics
Humans
ICU Decision Making
Intensive Care Units
Journal Article
Morton NS
Pace NA
Paediatric Anaesthesia
Pediatric/legislation & jurisprudence
Third-Party Consent
Tissue Donors/legislation & jurisprudence
Withholding Treatment
-
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
Citation List Month
Backlog
URL Address
<a href="http://www.blackwell-synergy.com/links/doi/10.1046/j.1460-9592.2001.00764.x/abs" target="_blank" rel="noreferrer">http://www.blackwell-synergy.com/links/doi/10.1046/j.1460-9592.2001.00764.x/abs</a>
Dublin Core
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Title
A name given to the resource
Opioid tolerance in neonates: a state-of-the-art review
Publisher
An entity responsible for making the resource available
Paediatric Anaesthesia
Date
A point or period of time associated with an event in the lifecycle of the resource
2001
Creator
An entity primarily responsible for making the resource
Suresh S; Anand KJS
Rights
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Article information provided for research and reference use only. PedPalASCNET does not hold any rights over the resource listed here. All rights are retained by the journal listed under publisher and/or the creator(s).
Type
The nature or genre of the resource
Journal Article
Description
An account of the resource
2001
2001
Anand KJS
Backlog
Journal Article
Paediatric Anaesthesia
Suresh S