Paediatric anaesthesia
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Paediatric anaesthesia · Aug 2017
The provision of pediatric cardiac anesthesia services in Germany: current status of structural and personnel organization.
Anesthesia for pediatric cardiac surgery requires a high level of expert knowledge. There are currently no recommendations and standards for anesthetic management for congenital cardiac surgery in Germany. ⋯ The present study represents the current structural situation for anesthesia at German pediatric cardiac surgery centers.
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Paediatric anaesthesia · Aug 2017
Case ReportsAcute masseter dystonia in a pediatric patient receiving aripiprazole and methylphenidate following induction of general anesthesia.
An 11-year-old male receiving aripiprazole, methylphenidate, and clonidine developed acute masseter dystonia inhibiting tracheal intubation after induction of general anesthesia with propofol and rocuronium. Following emergence, he had trismus and jaw discomfort. Psychiatry consultation suspected an acute dystonic reaction, so diphenhydramine was administered intravenously which resolved symptoms. We suspect chronic aripiprazole and methylphenidate usage combined with propofol administration in the short-term absence of methylphenidate made this patient susceptible to dystonic reactions.