Minerva anestesiologica
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Minerva anestesiologica · Feb 2012
Risk factors of postoperative vomiting in children receiving continuous intravenous morphine.
Risk factors of postoperative vomiting (POV) have been less extensively explored in children compared to adults. We analyzed the risk factors of POV in children receiving continuous intravenous (i.v.) morphine in a standardized manner without POV prophylaxis after major surgery. ⋯ Female gender, which is usually considered a risk factor after puberty, should be taken into account independent of age to guide the POV prophylaxis in children receiving a postoperative continuous i.v. morphine infusion.
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Minerva anestesiologica · Feb 2012
Case ReportsDifficult airway in a pediatric patient with Klippel-Feil syndrome and an unexpected lingual tonsil.
Klippel-Feil Syndrome (KFS) is a congenital defect characterized by the fusion of at least two cervical vertebrae. This article presents the case of a 12-year-old girl with KFS planned for scoliosis surgery. ⋯ Imaging tests showed lingual tonsil hypertrophy and a deviation of the tracheal axis, clarifying the causes of the failed intubation and suggesting new approaches for airway management. As far as we know, the association of KFS and lingual tonsil hypertrophy has not been reported before in the literature.
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A 74-year-old patient was submitted to urgent surgery for intestinal occlusion. After the induction of the anaesthesia, tracheal intubation failed since no progression of Eshmann tracheal tube introducer was possible. ⋯ The larynx was visible but there was a spur that obstacled the progression of the Eshmann tracheal tube introducer. The spur derived from a previous tracheostomy.