Journal of pediatric surgery
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Comparative Study
Assessment of thermodilution cardiac output in small subjects.
Thermodilution cardiac output determinations were compared with dye-dilution measurements in normovolemic and hypovolemic puppies. Good correlation was achieved with small volumes of cold and warm saline. Injectate volumes and significant caval displacement of the injectate port did not significantly affect thermodilution output measurements. This study demonstrates that thermodilution is a reliable and practical method of cardiac output determination in small subjects and suggests that this technique may be useful in the clinical management of neonates and small infants.
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Malignant hyperpyrexia is a highly lethal complication of general anesthesia. It occurs with sufficient frequency, particularly in children and young adults, to justify use of continuous temperature monitoring during adminnstration of general anesthesia. ⋯ Family members should be screened for CPK elevations to determine possible susceptibility to malignant hyperpyrexia. Two case reports illustrate these points of diagnosis and management.
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Case Reports
Angiographic diagnosis and treatment of bleeding by selective embolization following pelvic fracture in children.
Angiography has been used successfully in adults for evaluation following major trauma and to subsequently control hemorrhage associated with pelvic fracture by selective embolization. This report illustrates that the technique is applicable in the evaluation and treatment of children with similar injuries.