Paediatric anaesthesia
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Paediatric anaesthesia · Oct 2003
Randomized Controlled Trial Comparative Study Clinical TrialRemifentanil vs alfentanil in the total intravenous anaesthesia for paediatric abdominal surgery.
Our aim was to investigate whether total intravenous anaesthesia (TIVA) with remifentanil and alfentanil would ensure appropriate analgesia and recovery conditions in anaesthesia for children undergoing abdominal surgery. ⋯ Remifentanil provides a more rapid recovery and adequate postoperative analgesia after TIVA for paediatric abdominal surgery, compared with alfentanil.
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Robinow (fetal face) syndrome is a rare inherited multisystem disorder featuring mesomelic or acromesomelic limb shortening, facial and spinal deformities, hypoplastic genitalia, kidney disease and congenital heart defects. We report the anaesthetic management of a patient with Robinow syndrome presenting for elective surgery and review specific issues of interest in the perioperative workup.
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Paediatric anaesthesia · Oct 2003
Case ReportsGeneral anaesthesia for lobectomy in an 8-year-old child with Kartagener's syndrome.
Kartagener's syndrome (KGS) is an autosomal recessive disorder characterized by the clinical triad of bronchiectasis, sinusitis and dextrocardia (situs inversus). Reports of general anaesthesia in a child with KGS are rare in medical literature. ⋯ Anaesthetic implications of this syndrome are mentioned. Key points in the management of anaesthesia in KGS are discussed.
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Paediatric anaesthesia · Oct 2003
Comparative Study Clinical TrialRemifentanil infusion for cleft palate surgery in young infants.
The residual depressant effect of opioid is a major concern in infants scheduled for cleft palate repair. Remifentanil is associated with a fast and predictable recovery, independent of age. ⋯ Remifentanil-based anaesthesia appeared well suited for primary cleft palate repair in young infants.
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Paediatric anaesthesia · Oct 2003
Case ReportsA rare cause of upper airway obstruction in a 5-year-old girl: a laryngeal web.
A case is described of a 5-year-old girl with respiratory distress. She was intubated without difficulty, but developed respiratory distress on extubation. Laryngoscopy/bronchoscopy via a laryngeal mask airway revealed an extensive layngeal web which was removed with laser therapy. The causes and differential diagnosis of laryngeal web are discussed.