Paediatric anaesthesia
-
Paediatric anaesthesia · Jan 1996
Letter Case ReportsAnaesthetic management for Klippel-Trenaunay-Weber syndrome.
-
Paediatric anaesthesia · Jan 1996
Left ventricular functions are not impaired after lumbar epidural anaesthesia in young children.
We studied the haemodynamic and cardiovascular effects of epidural anaesthesia with plain bupivacaine 0.75 ml.kg-1 in 13 unpremedicated ASA 1 children using measurements of heart rate, blood pressure and M-mode echocardiography. Under general anaesthesia, M-mode echocardiographic evaluation of left ventricular function in each patient was performed at four points (after general anaesthesia, point A; 5 min, 10 min and 25 min after epidural anaesthesia, point B; point C; and point D, respectively). ⋯ No other M-mode cardiographic indices were changed at any point. Epidural anaesthesia using 0.25% bupivacaine 0.75 ml.kg-1 did not affect LV function in young children.
-
Paediatric anaesthesia · Jan 1995
Case ReportsOrotracheal intubation through the laryngeal mask airway in paediatric patients with Treacher-Collins syndrome.
The laryngeal mask airway (LMA) is useful as an airway intubator (conduit) for an intubating tracheal bougie or fibreoptic bronchoscope, over which a tracheal tube is passed. However, in our paediatric patients with Treacher-Collins syndrome, only the latter technique was successful. ⋯ Downward displacement of the epiglottis, which can sometimes impair the intubation technique through the LMA, was not observed in our patients. Partial obstruction of a tracheal tube within the LMA occurred in one of the patients.