Paediatric anaesthesia
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Paediatric anaesthesia · Apr 2021
Case ReportsAnesthesia Management for ENT surgery in a Child with X-linked Pyruvate Kinase Deficiency.
Pyruvate dehydrogenase complex deficiency (PDCD) is a rare X-linked disorder that affects glucose metabolism. There are several case reports describing the anesthetic management of patients with PDCD. This is the first case report to describe the anesthetic management of a PDCD patient requiring spontaneous ventilation using dexmedetomidine and ketamine.
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Paediatric anaesthesia · Apr 2021
Perioperative hypersensitivity reactions during childhood and outcomes of subsequent anesthesia.
Pediatric perioperative hypersensitivity reactions are rare, and possibly life-threatening. Identification of precise etiology is crucial to circumvent future re-exposures. ⋯ Data on perioperative hypersensitivity reactions during childhood are rare due to limited diagnostic procedures. Different preference of general anesthetics may change the causative agent. Meticulous evaluation is necessary to safely administer subsequent anesthesia.
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Paediatric anaesthesia · Apr 2021
Observational StudyAn approach to define newborns' sniffing position using an angle based on reproducible facial landmarks.
The neutral or sniffing position is advised for mask ventilation in neonates to avoid airway obstruction. As definitions are manifold and often unspecific, we wanted to investigate the reliability and reproducibility of angle measurements based on facial landmarks that may be used in future clinical trials to determine a hypothetical head position with minimal airway obstruction during mask ventilation. ⋯ This study provides a new measuring technique using an angle that is reproducible and reliable and may be used in future studies to correlate head position with airway obstruction.