Paediatric anaesthesia
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Paediatric anaesthesia · Apr 2008
Intervention steps for treating laryngospasm in pediatric patients.
Laryngospasm, a potentially life-threatening complication of anesthesia, is reported more commonly in children (17.4/1000) than in the general population (8.7/1000). However, there are no clinical data on the optimal type and sequence of therapeutic interventions. We therefore characterized the interventions used at St. Jude Children's Research Hospital. ⋯ In the largest single-institution study to date of laryngospasm in pediatric patients, we found a rate of 1/1000 cases. Treatment followed a basic algorithm comprising continuous positive airway pressure, deepening of anesthesia, muscle relaxation and tracheal intubation.
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Paediatric anaesthesia · Apr 2008
Case ReportsProlonged apnea with intramuscular ketamine: a case report.
We report a rare case of prolonged apnea following administration of ketamine. A healthy 11-month-old female child was administered intramuscular ketamine as a sole anesthetic agent for a short surgical procedure. ⋯ She recovered completely after 90 min. This case report illustrates the potential hazard of ketamine, emphasizes the importance of being able to provide emergency airway management and monitored anesthesia care.