Paediatric anaesthesia
-
Paediatric anaesthesia · Feb 2004
Case ReportsAnaesthetic management in a neonate with congenital complete heart block.
We present the case of a neonate undergoing surgery on the first day of life for the installation of a permanent pacemaker because of the existence of congenital complete heart block (CCHB) with a basal heart rate of 43 b.min(-1) and minimal elevation after initiating an isoproterenol perfusion. The intervention was under general anaesthesia with laryngeal mask airway (LMA) and spontaneous ventilation. The principal anaesthetic goals were to assure adequate anaesthesia, with haemodynamic and respiratory stability, to maintain the best possible heart rate and to avoid postoperative respiratory depression or apnoea.
-
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.
-
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.
-
Paediatric anaesthesia · Feb 2004
Letter Case ReportsAnaesthetic considerations in the management of heteropagus twins.