Paediatric anaesthesia
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Paediatric anaesthesia · Feb 2004
Comparative Study Clinical TrialTranscutaneous carbon dioxide monitoring during diabetic ketoacidosis in children and adolescents.
Our aim was to evaluate the utility of transcutaneous CO2 (TC-CO2) monitoring in following the response to therapy in children and adolescents in diabetic ketoacidosis (DKA) requiring ICU admission. ⋯ TC-CO2 correlates with serum HCO3- and can be used to follow therapy in children and adolescents in DKA.
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Paediatric anaesthesia · Feb 2004
ReviewConjoined twins--the anaesthetic management of 15 sets from 1991-2002.
The Red Cross War Memorial Children's Hospital, Cape Town, South Africa is the only dedicated children's hospital in sub-Saharan Africa and, as such, is the referral hospital for complex procedures from this region. Fifteen sets of conjoined twins have presented for separation from 1991 to 2002, and a total of 34 sets since 1964. Anaesthesia for procedures on conjoined twins is a demanding, exacting and meticulous exercise, whether prior to or during separation. ⋯ Planning for the postseparation period and the reconstruction and rehabilitation of the babies is essential from the time of their initial admission. Meticulous attention to detail, monitoring and vigilance are mandatory. Successful management of conjoined twins relies on close communication and cooperation of all members of the multidisciplinary team.
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Paediatric anaesthesia · Feb 2004
Influence of control variables on mannequin temperature in a paediatric operating theatre.
Core temperature drops in all children having general anaesthesia. Convection heating may be useful, but its effectiveness in the paediatric setting is not established. Additionally, its utility in many paediatric situations is limited by blanket design. ⋯ A customized HDU used in association with a 'Bair Hugger' unit and a careful surgical draping technique provides stable, safe and consistent air temperatures around a mannequin. Net heat gain by a child's body should occur with this arrangement. Further evaluation in a clinical study is underway.
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Paediatric anaesthesia · Feb 2004
Case ReportsAnaesthetic experiences in three sets of conjoined twins in King Chulalongkorn Memorial Hospital.
We describe the anaesthetic management for magnetic resonance image scanning, angiography and surgical operations in three sets of conjoined twins (ischiopagus, throracopagus and pygopagus) in King Chulalongkorn Memorial Hospital during 1996-2002. The anaesthetic technique and associated problems are summarized.