Paediatric anaesthesia
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Paediatric anaesthesia · Jan 2009
ReviewAnesthesia for thoracic surgery in children in developing countries.
Anesthesia for surgery on the lung and intra-thoracic structures requires a high level of expertise. In the developing world, patients are often poor, anemic and malnourished. ⋯ Surgery is often mandated in spite of inadequate resources. Maintaining the safety of the patient while treating them within the limits of our resources is a continuing challenge.
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Paediatric anaesthesia · Jan 2009
ReviewPediatric emergency and critical care in low-income countries.
The United Nations' Millennium Development Goal 4 is to reduce the global under-five mortality rate by two-thirds by 2015. Achieving this goal requires substantial strengthening of health systems in low-income countries. ⋯ Improving intensive care units, training health staff in the fundamentals of critical care concentrating on ABC - airway, breathing, and circulation - and developing guidelines for the management of common medical emergencies could all improve the quality of inpatient pediatric care. Integration with obstetrics, adult medicine and surgery in a combined emergency and critical care service would concentrate resources and expertise.
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Paediatric anaesthesia · Jan 2009
Letter Review Case ReportsEscobar syndrome: is this child prone to malignant hyperthermia?
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Paediatric anaesthesia · Dec 2008
ReviewExtracorporeal membrane oxygenation for postcardiotomy mechanical cardiovascular support in children with congenital heart disease.
Extracorporeal membrane oxygenation (ECMO) is increasingly used to support postcardiotomy cardiorespiratory failure in children with congenital heart disease. We report on survival outcomes and factors associated with survival for postcardiotomy ECMO patients.