[Continuous monitoring of transcutaneous PO2 and PCO2 in pediatric anesthesia].
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Biomedical subjects
Publications and source records attributed to S Rosenberg-Reiner.
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In pediatric anaesthesia, the therapeutic research raises ethical, moral and legal problems. The reexamination of three personal experimental procedures: ketamine (1970), propanidide (1971), etomidate (1978) yields suggestions concerning the use of new anesthetic drug in children. The experimental procedures in pediatric anesthesia need: --a great number of experimental results in "adults" animals but also in "growing" animals, --sufficient experiments in human adults, --an anesthetic medical staff especially trained in practice of pediatric anesthesia, --a special care for th convenient protocol. Moral and ethical problems concern: --the direct benefit, --the discernible risk, --the inclusion of non critically ill minor children in the procedure and the legal right of "informed consent". The approval of the design, details and ethical criteria of the research by a medical ethics committee seems the only judicious way.
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The anesthesic induction in children must be technically carefully performed, but also in the child's mind. Inhalation has the advantage to be painless and easy to perform. It seems more advisable to allow the child to choice his own kind of induction. The experience of our institution is reported.