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Department of Anesthesiology, Mayo Clinic, 200 First St SW, Rochester, MN 55905
(Email: oliver.william@mayo.edu).
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Perioperative care of pediatric cardiac surgical patients has benefited greatly by technological advances that deliver frequent or continuous measurement of physiologic measurements, such as arterial oxygen saturation, mixed venous saturation, arterial and central venous pressure, core temperature, respiratory mechanics, cerebral oxygenation, and myocardial and valvular function. Level of sedation (a very important matter during postoperative mechanical ventilation) has depended solely on subjective assessment of a patient's appearance and responses risking the detrimental effects of over or inadequate sedation.
In this issue, Lamas and colleagues [1] become the first to compare objective with subjective measurements of the level of sedation in pediatric cardiac surgical patients. Thirty-two patients aged 14
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