Paediatric anaesthesia
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Paediatric anaesthesia · Nov 2003
Case ReportsLacticacidosis after short-term infusion of propofol for anaesthesia in a child with osteogenesis imperfecta.
We describe the case of a 7-year-old boy with osteogenesis imperfecta, who underwent anaesthesia with propofol-fentanyl-nitrous oxide-suxamethonium for orthopaedic surgery of a distal femur fracture. He developed lacticacidosis after short-term propofol infusion (150 min, mean infusion rate 13.5 mg.kg-1.h-1) associated with a prolonged recovery time without serious haemodynamic changes. ⋯ There was no significant increase in body temperature. The boy fully recovered.
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Paediatric anaesthesia · Nov 2003
Letter Case ReportsAnaesthetic management of an infant with Conradi's syndrome.
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Paediatric anaesthesia · Nov 2003
Case ReportsMassive tongue swelling following the use of synthetic saliva.
A 5-year-old boy with cerebral palsy and severe learning difficulties developed massive tongue swelling of sudden onset following the use of synthetic saliva. Acute airway obstruction and severe stridor ensued which required tracheal intubation and transfer to paediatric intensive care. The child was treated with intravenous steroids, antihistamines and epinephrine. With cessation of synthetic saliva, the swelling gradually resolved and the child was extubated on day 5.
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Paediatric anaesthesia · Nov 2003
Anaesthesia for magnetoencephalography in children with intractable seizures.
Magnetoencephalography (MEG), a noninvasive technique for evaluation of epileptic patients, records magnetic fields during neuronal electrical activity within the brain. Anaesthesia experience for MEG has not yet been reported. ⋯ In our experience, midazolam premedication resulted in a high MEG failure rate (73%). Chloral hydrate premedication and propofol maintenance resulted in a lower incidence of MEG failure (5.8%). General anaesthesia with a continuous infusion of propofol or sevoflurane appears acceptable, although, lighter levels of anaesthesia might be required to avoid interference with interictal activity of the brain.