Articles: postoperative-complications.
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This report analyzes the course of 146 pediatric patients with colostomies in reference to problems with colostomy formation, management, and subsequent closure. Colostomy was performed predominantly for Hirschsprung's disease (70 cases) and imperforate anus (46 cases). A transverse colostomy was done in 120 patients (82%), and a sigmoid colostomy in the remaining patients. ⋯ Major complications occurred in 16 cases (15%). There were no deaths related to colostomy closure. The use of a sigmoid colostomy when possible and close attention to technical details, principles of stomal care, and proper parental instruction should minimize morbidity.
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The Journal of pediatrics · Apr 1980
Case ReportsObstructive sleep apnea and death associated with surgical correction of velopharyngeal incompetence.
We have observed three children who developed obstructive sleep apnea immediately following construction of pharyngeal flaps designed to improve the speech of these patients with velopharyngeal incompetence. Postoperatively the patients were noted to have repeated episodes during sleep of strong respiratory efforts without airflow. ⋯ Respiratory depressants should be avoided. Airway intubation, revision of the surgery, or tracheostomy may be necessary.
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One of the most catastrophic complications of intracranial surgery is infection. These infections present frequently as postoperative fever and a change in sensorium. ⋯ The phenytoin sensitivity syndrome is reviewed with emphasis on the fact that all components of the syndrome are not always present initially. The clinical significance of the presentation of phenytoin hypersensitivity as postoperative fever is discussed.
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AJR Am J Roentgenol · Mar 1980
ReviewPostoperative chest radiograph: I. Alterations after abdominal surgery.
Postoperative cardiopulmonary complications remain a major cause of mortality and morbidity despite recent advances in intra- and postoperative management. The chest radiograph is a valuable aid in evaluating them. This paper reviews the major chest radiographic alterations after abdominal surgery and attempts to place them in clinical perspective.
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J. Thorac. Cardiovasc. Surg. · Mar 1980
Neurologic dysfunction following cardiac operation with low-flow, low-pressure cardiopulmonary bypass.
A prospective 6 month study of all patients undergoing cardiac operation with cardiopulmonary bypass (CPB) was undertaken to determine the incidence of neurologic and neuropsychological dysfunction following low-flow, low-pressure CPB. Among 204 patients who underwent cardiac operation with CPB, there were seven deaths (3.4%), six who developed new motor deficits (2.9%), and 35 (17.2%) who exhibited some neurologic or neuropsychological dysfunction at discharge. ⋯ The incidence of postoperative neurologic and neuropsychological complications appears comparable to that in reports from institutions employing high CPB flow and maintaining high CPB MAP. Our results suggest that CPB pressure, per se, is not the major determinant of postoperative neurologic and neuropsychological dysfunction.