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
Perioperative anaesthetic morbidity in children: a database of 24,165 anaesthetics over a 30-month period.
This study reports the practices and morbidity of 24,165 anaesthetics performed over a 30-month period in a paediatric teaching hospital. ⋯ This observational study confirms previous reports, and indicates that there is still a relative higher rate of adverse events in infants compared with older children even in a teaching paediatric hospital with a high annual caseload.
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Paediatric anaesthesia · Feb 2004
Case ReportsPeripherally inserted central venous catheters in preterm newborns: two unusual complications.
This report describes the case of two newborns who suffered unusual complications after peripheral insertion of a central venous catheter. In one baby a fragment of the catheter tip became embolized in a peripheral branch of the left pulmonary artery. ⋯ The outcome was positive for both babies. A large clinical series is necessary to establish the complications of this procedure, their prevention and management.
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Paediatric anaesthesia · Feb 2004
Case ReportsThe laryngeal mask airway for administration of surfactant in two neonates with respiratory distress syndrome.
We report the successful use of the Classic laryngeal mask airway to provide brief access to the intratracheal space for the administration of surfactant in two neonates with respiratory distress syndrome.