Paediatric anaesthesia
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Paediatric anaesthesia · Jan 1995
Case ReportsAnaesthetic management of the child with myotonic dystrophy: epidural anaesthesia as an alternative to general anaesthesia.
An 11-year-old boy with myotonic dystrophy required anaesthesia for a lower extremity orthopaedic procedure. The management of patients with myotonic dystrophy is discussed including the use of epidural anaesthesia with a continuous chloroprocaine infusion as an alternative to general anaesthesia.
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Paediatric anaesthesia · Jan 1995
Letter Case ReportsThe lost tracheal tube: a rare complication of failed intubation.
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Paediatric anaesthesia · Jan 1995
The pharmacokinetics of bupivacaine following interpleural nerve block in infants of very low birthweight.
Infants of very low birthweight (VLBW) who underwent thoracotomy were given 2.0 mg.kg-1 of bupivacaine by the intrapleural route, and serial blood levels were taken to determine the pharmacokinetic profile in this group of babies. It was apparent that the half life was longer, clearance lower, and volume of distribution greater than in term infants. Although the drug did not reach toxic levels at this dose, caution should be observed when redosing as the accumulation of the drug may be unpredictable.