Paediatric anaesthesia
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Paediatric anaesthesia · Jan 1997
Case ReportsConservative management of tracheal rupture after intubation.
A case is reported of a newborn with tracheal rupture resulting from a complicated delivery requiring vacuum extraction and two attempts at intubation. Despite the severity of the situation the infant was successfully managed conservatively with orotracheal intubation.
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Paediatric anaesthesia · Jan 1997
Review Case ReportsPerioperative considerations in a newly described subtype of congenital long QT syndrome.
An infant with a newly-described subtype of congenital long QT syndrome is presented, along with her perioperative management on three separate occasions. During each anaesthetic characteristic arrhythmias occurred. The available literature and rational approaches to these high risk patients are reviewed.
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Paediatric anaesthesia · Jan 1997
Case ReportsPulmonary aspiration of gastric contents after a priming dose of vecuronium.
A case is presented of a 16-year-old girl with ectodermal dysplasia for whom dental surgery under general anaesthesia was planned. Following a priming dose of vecuronium, and immediately after injection of sodium thiopentone (5 mg.kg-1) pulmonary aspiration of gastric contents occurred. It is hypothesized that, because of the rapid speed of onset of neuromuscular blocking agents on the laryngeal muscles, that partial laryngeal paralysis was present at the time of induction of anaesthesia and that this was responsible in part for the episode of pulmonary aspiration.
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Paediatric anaesthesia · Jan 1997
Case ReportsOral and nasotracheal light wand guided intubation after failed fibreoptic bronchoscopy.
Fibreoptic bronchoscopic guided tracheal intubation is often the first choice for clinicians familiar with the technique, when faced with a patient in whom tracheal intubation presents known or possible difficulties. Regardless of the technique chosen, anticipated and unanticipated problems may arise. We report three patients with known difficult airways that illustrate the utility of light wand guided oral and nasotracheal intubation when tracheal intubation with fibreoptic bronchoscopy proved impossible.