Paediatric anaesthesia
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Paediatric anaesthesia · Jun 2003
Case ReportsAnaesthetic management of a child with Pallister-Killian syndrome.
Pallister-Killian syndrome is characterized by tetrasomy of the short arm of chromosome 12p, which produces mental retardation of varying degrees and dysmorphic characteristics. We describe anaesthesia in a 2-year-old child affected by this syndrome who underwent surgery for orchidopexy. ⋯ Tracheal intubation was uneventful. No complications of any type were observed.
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Paediatric anaesthesia · Jun 2003
Case ReportsPostobstructive pulmonary oedema during anaesthesia in children with mucopolysaccharidoses.
We present case reports of five patients with severe forms of mucopolysaccharidoses who developed postobstructive pulmonary oedema during anaesthesia. The difficulties of anaesthesia in these patients and the particular predisposition that these patients exhibit for the development of postobstructive pulmonary oedema is discussed.
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Paediatric anaesthesia · Jun 2003
Case ReportsDifferential lung ventilation in an infant using LMA and a long tracheal tube.
This is a case report of differential lung ventilation in an infant using a conventional laryngeal mask airway (LMATM) and a commercially available longer paediatric tracheal tube. This 2-month-old infant had her left-sided congenital diaphragmatic hernia repaired on the sixth day of her life, and had been mechanically ventilated. ⋯ To avoid hyperinflating the right middle lobe, and to expand the right lower lobe without providing a high airway pressure on the left lung, the dependent lung (i.e. left lung) was ventilated with an LMA, and the right lower lobe was expanded with a long tracheal tube inserted through the LMA via the swivel connector. This combination of a conventional LMA and a commercially available longer paediatric tracheal tube could be another way of providing differential ventilation in infants.