Paediatric anaesthesia
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Paediatric anaesthesia · Nov 2001
Comparative StudyRegional anaesthesia decreases the need for postoperative mechanical ventilation in very low birth weight infants undergoing herniorrhaphy.
We were interested to know whether regional anaesthesia allowed improved respiratory function postoperatively in very low birth weight babies. ⋯ Regional anaesthesia decreases the need for postoperative ventilatory support requirements in very low birth weight infants undergoing herniorrhaphy.
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Caffeine, which has a wide range between therapeutic and toxic levels, is a widely used medication for prevention and treatment of apnoea of prematurity. Despite its safety, caffeine overdose and intoxication has been previously reported in the literature. ⋯ No seizure activity was observed. The effects of intoxication lasted for 96 h and then completely resolved.
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Paediatric anaesthesia · Nov 2001
Case ReportsThe anaesthetic management of a deliberately created bronchoatmospheric fistula in bilateral pulmonary hydatids.
Postoperative empyema and bronchopleural fistula are well known complications after surgery for pulmonary hydatid disease. The pneumonostomy technique of deliberately creating a bronchoatmospheric fistula after removal of the parasite has been used to prevent these complications. This technique, however, is an added anaesthetic challenge, especially if the child presents again for surgery before this fistula has healed. We describe the anaesthetic management of such a case where controlled increase of the resistance to the air leak via the fistula during intermittent positive pressure ventilation helped circumvent these problems.
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Paediatric anaesthesia · Nov 2001
Critical incidents in paediatric anaesthesia: an audit of 10 000 anaesthetics in Singapore.
We undertook an audit of paediatric perioperative incidents in the first 10000 anaesthetics administered in KK Women's and Children's Hospital in Singapore between May 1997 and April 1999. The spectrum of surgery performed ranged from simple ambulatory surgery to open heart surgery for complicated congenital heart diseases. ⋯ Future reviews of a larger patient population may be helpful to determine trends of perioperative events and whether quality assurance programs have made a difference.