Paediatric anaesthesia
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Paediatric anaesthesia · Jan 2001
Clinical predictors of anaesthetic complications in children with respiratory tract infections.
Details of the preoperative condition, in particular symptoms of respiratory tract infections (RTI), perioperative management and the occurrence of perioperative complications, were collected in a survey of 2051 children. Logistic regression was used to determine which variables were predictors of anaesthetic adverse events. 22.3% of the children had symptoms of an RTI on the day of surgery, and 45.8% had a 'cold' in the preceding 6 weeks. Logistic regression returned eight variables. ⋯ Orotracheal intubation was associated with an increased probability of complications when compared with laryngeal mask airway and facemask. RTI in the preceding 6 weeks did not increase probability of complications. Wheeze, fever, malaise and age could not be excluded as predictors in this study because children with these symptoms and infants with colds were effectively excluded from the study.
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Paediatric anaesthesia · Jan 2001
Case ReportsAnaesthesia in a child with Hutchinson-Gildford progeria.
Hutchinson-Gildford syndrome is an extremely rare condition characterized by the appearance of accelerated ageing. Reports of general anaesthesia in a child with progeria within the last 20 years in the English-spoken literature are very rare. ⋯ The child had a past history of failed intubation. Key points in the management of anaesthesia in progeria are discussed.