Paediatric anaesthesia
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Paediatric anaesthesia · Apr 2016
Case ReportsTension pneumothorax during flexible bronchoscopy in a nonintubated infant.
We describe the case of a tension pneumothorax occurring during flexible bronchoscopy in a nonintubated infant. The pneumothorax likely occurred secondary to wall source oxygen insufflation via the bronchoscope without sufficient gas egress. The use of wall source oxygen via the bronchoscope working channel is inherently dangerous and should be avoided.
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Paediatric anaesthesia · Apr 2016
NewB for newbies: a randomized control trial training housestaff to perform neonatal intubation with direct and videolaryngoscopy.
Competency rates in neonatal intubation among pediatric residents are low and currently not meeting ACGME/AAP standards. ⋯ Both standard teaching and computer module teaching of neonatal intubation on a mannequin model results in improved time to successful intubation and overall improved resident confidence with intubation equipment and technique. Although intubation times were lower with direct laryngoscopy compared to videolaryngoscopy, the participating residents felt that videolaryngoscopy is an important educational tool.
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Paediatric anaesthesia · Apr 2016
Erythropoietin diminishes isoflurane-induced apoptosis in rat frontal cortex.
During the brain growth spurt, anesthetic drugs can cause cellular and behavioral changes in the developing brain. The aim of this study was to determine the neuroprotective effect of erythropoietin after isoflurane anesthesia in rat pups. ⋯ A total of 1000 IU·kg(-1) IP erythropoietin diminished isoflurane-induced neuroapoptosis. Further experimental studies have to be planned to reveal the optimal dose and timing of erythropoietin before adaptation to clinical practice.
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Paediatric anaesthesia · Apr 2016
Case ReportsFailed fiberoptic intubation in a child with epidermolysis bullosa, rescued with combined use of the Glidescope(®).
We present the case of a 13-year-old male with epidermolysis bullosa having an elective syndactyly release. These patients present significant challenges to the anaesthetist; extreme care in patient handling is required. Recurrent and pronounced scarring of intra-oral, pharyngeal and laryngeal tissues is a feature, resulting in a difficult airway. ⋯ This proved immediately successful. Its utilisation has been reported in adults. We wish to present our experience in the paediatric population, and this is the first report in a child with epidermiolysis bullosa.