Paediatric anaesthesia
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Paediatric anaesthesia · Aug 2006
Case ReportsContinuous infraclavicular brachial plexus block in a child.
Continuous regional anesthesia for both intra- and postoperative use in adults is becoming more common. As with many new anesthesia techniques, however, there is often a lag time before the same techniques are utilized in children. ⋯ A search of the literature from the last 10 years did not show any reports of the placements of a continuous brachial plexus block in children. In this case report, we present the successful placement and use of a continuous infraclavicular catheter in a child undergoing upper extremity surgery.
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Paediatric anaesthesia · Aug 2006
Case ReportsExtravasation of propofol is associated with tissue necrosis in small children.
Propofol is widely used for induction of anesthesia and many reports document extravasation and even intra-arterial injections without clinical sequelae. We report a case of tissue necrosis after subcutaneous injection of propofol in a 31-day-old infant.
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Paediatric anaesthesia · Aug 2006
Perioperative cardiac arrest and its mortality in children. A 9-year survey in a Brazilian tertiary teaching hospital.
The incidence of perioperative cardiac arrest and mortality in children is higher than in adults. This survey evaluated the incidence, causes, and outcome of perioperative cardiac arrests in a pediatric surgical population in a tertiary teaching hospital between 1996 and 2004. ⋯ Perioperative cardiac arrests were relatively higher in neonates and infants than in older children with severe underlying disease and during emergency surgery. The fact that all anesthesia attributable cardiac arrests were related to airway management and medication administration is important in prevention strategies.