British journal of anaesthesia
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We report a case of successful management of transfusion-related acute lung injury (TRALI) with prolonged cardiopulmonary bypass support in a 4-yr-old patient undergoing elective cardiac surgery. TRALI was diagnosed clinically and immunologically by detection of reactive antibodies in a unit of fresh frozen plasma that had been administered to the patient. The aetiology and management of TRALI are briefly discussed and possible implications of this case for the management of TRALI are highlighted.
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Metallic tracheal stents have been used in the treatment of paediatric tracheomalacia for more than a decade. We describe a case in which critical airway obstruction occurred during removal of a welded tracheal stent using a rigid bronchoscope under general anaesthesia. Life-saving cardiopulmonary bypass was instituted urgently, and the welded stent was then removed successfully by directly opening the trachea.
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We report a case of awareness detected by the Alaris AEP Monitor, a device that measures anaesthesia by tracking changes of the waveform of the mid-latency auditory evoked potential.
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Inadvertent endobronchial intubation occurred twice during laparoscopic surgery, with two different causes. Radiography was the only means of definitive diagnosis.