Paediatric anaesthesia
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Paediatric anaesthesia · Dec 2004
Case ReportsAirway protection with the ProSeal laryngeal mask airway in a child.
We describe a case where a size 2 ProSeal laryngeal mask airway successfully channelled regurgitated fluid away from the respiratory tract in a 5-year-old child following an inguinal hernia repair.
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Paediatric anaesthesia · Dec 2004
Sonographic imaging of the sciatic nerve and its division in the popliteal fossa in children.
High resolution ultrasound is a possible option for anesthetists to detect nerves. We tested the possibility of imaging the sciatic nerve and its division into the tibial and peroneal part using high resolution ultrasound in children. ⋯ Ultrasound opens a window to detect the anatomy of the sciatic nerve in children. In addition, the surrounding anatomical structures can also be depicted. The results suggest a possibility of safe placement of a cannula for blockade of the sciatic nerve under visual control.
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Paediatric anaesthesia · Dec 2004
Case ReportsUnsuspected sublingual mass causing difficult intubation in an infant.
A case is described of a difficult intubation in an infant presenting for cleft palate closure, due to an unsuspected sublingual mass. The report stresses the fact that multiple anomalies can coexist in an infant and contribute to difficult intubation through different mechanisms. Various airway management strategies are explored.
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Paediatric anaesthesia · Dec 2004
Clinical signs of infection during continuous postoperative epidural analgesia in children: the value of catheter tip culture.
Infection arising from the use of epidural catheters for postoperative analgesia is a major source of anxiety. ⋯ Minor local signs of inflammation and infection are common in pediatric patients during continuous epidural infusion. Epidural catheter tips are also frequently culture positive in patients with and without local signs and who may not go on to develop further signs or symptoms of infection. Routine culture of catheter tips is unnecessary as it is not a good predictor of epidural space infection.