Articles: general-anesthesia.
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Ann Fr Anesth Reanim · Jan 1997
[Anesthesia and intensive care of craniostenosis and craniofacial dysmorphism in children].
Craniosynostosis occurs in one out of 2,000 births. It results in primary skull deformations requiring surgical repair, in infants with a body weight of less than 10 kg. Pure craniosynostosis is the most frequent situation, where the risk for cerebral compression during brain development is the lowest. ⋯ With experienced teams, this high-risk surgery carries a low peroperative mortality (less than 1%) and morbidity rate. The latter includes essentially transient peroperative hypotension. The excellent final cosmetic and functional results justify the practice of this surgery in children with a bodyweight of less than 10 kg.
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In the present paper, experience with the detection of burst suppression in the pEEG is described. The possibilities and limitations of the method during monitoring of anaesthesia under real conditions are discussed.
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Acta Anaesthesiol Belg · Jan 1997
Pentylenetetrazol seizure threshold in the rat during recovery phase from propofol and thiopentone induced anesthesia.
Pentylenetetrazol (PTZ) seizure threshold was determined in the rat during recovery from anesthesia induced by intravenous administration of propofol (20 mg/kg) or thiopentone (30 mg/kg). Seizure threshold values determined 10 min after the induction of anesthesia by either agents were significantly higher than those determined in control animals, indicating an anticonvulsant effect. ⋯ At no time during or after recovery from anesthesia induced by either anesthetic agents, did the PTZ conclusive threshold fall below control values. Thus, using the PTZ convulsive threshold, no proconvulsant effects were detected during the early phase of recovery from propofol or thiopentone induced anesthesia.
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Paediatric anaesthesia · Jan 1997
Case ReportsOrotracheal fibreoptic intubation in children under general anaesthesia.
Orotracheal fibreoptic intubation under general anaesthesia in children was studied in eleven consecutive patients of three months to eight-years-of-age without anticipated intubation difficulties. One case report is also included. Three fibrescopes with a different diameter were used in the study. ⋯ Two patients were intubated with the Macintosh laryngoscope. The problems encountered in children during orotracheal fibreoptic intubation under general anaesthesia are the same as with adults: easy fibreoscopy is not always followed by easy tracheal intubation, there may be prolonged fibreoscopy and failed intubations. Manipulation of the tracheal tube can lead to successful tracheal intubation and resistance to the tube is more common in smaller children.