Paediatric anaesthesia
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Paediatric anaesthesia · Jul 2001
Pain management in children with and without cognitive impairment following spine fusion surgery.
We compared pain assessment and management practices in children with and without cognitive impairment (CI) undergoing spine fusion surgery. ⋯ Our data demonstrate a discrepancy in pain management practices in children with and without CI following spine fusion.
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Paediatric anaesthesia · Jul 2001
Case ReportsComplicated airway management in a child with prune-belly syndrome.
We describe a 15-month-old boy with prune-belly syndrome (PBS) in whom airway management was complicated. Following an inhalation induction using sevoflurane, tracheal intubation by direct laryngoscopy proved impossible after repeated attempts. A laryngeal mask airway (LMAtrade mark) was inserted and the child had an uneventful anaesthetic course.
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Paediatric anaesthesia · Jul 2001
Case ReportsAnaesthetic management of a patient with myotonic dystrophy.
A 13-year-old boy with myotonic dystrophy underwent insertion of a percutaneous gastrostomy feeding tube under general anaesthesia. We used a laryngeal mask airway and a spontaneously breathing technique with propofol total intravenous anaesthesia. Postoperative vomiting and aspiration, 12 h after the procedure, subsequently required intubation and ventilation. We discuss the anaesthetic management of this case and review the features of the disease to be considered when contemplating anaesthesia in such patients.
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Paediatric anaesthesia · Jul 2001
Case ReportsCervical subcutaneous emphysema: an unusual complication of adenotonsillectomy.
Removal of the tonsils and adenoid tissue because of recurrent infection and/or respiratory obstruction is one of the most commonly performed operations. A rare complication during this intervention is subcutaneous surgical emphysema. The awareness of anaesthesiologists and otolaryngological surgeons will protect the patient from serious consequences. We report our experience with this complication and provide a review of the literature.