Paediatric anaesthesia
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Paediatric anaesthesia · Mar 2004
Case ReportsImpossible laryngeal intubation in an infant with Fraser syndrome.
Congenital webbing of the vocal cords is rare, and is usually incompatible with life. We report a case of an infant with Fraser syndrome who required a surgical airway because of a severe stenosis of her airway secondary to a glottic web. The decision process leading to tracheostomy in this neonate is described. The pertinent features of Fraser syndrome in relation to airway management are discussed.
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Paediatric anaesthesia · Mar 2004
The effect of environmental tobacco smoke on the dose requirements of rocuronium in children.
Smoking affects the pharmacodynamic and pharmacokinetic behaviour of several drugs. The aim of this study was to evaluate the effects of environmental tobacco smoke on onset and recovery time after single dose rocuronium in children. ⋯ This study shows that passive smoking children consume less rocuronium than nonsmokers during similar anaesthesia. We think that a history of passive smoking must also be taken into consideration during preoperative evaluation of paediatric patients.