Acta anaesthesiologica Belgica
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Acta Anaesthesiol Belg · Jan 1984
Pediatric regional anesthesia. Its use in the pre-, per- and postoperative period.
Accidents in children can occur at any moment of the day. A child has rarely an empty stomach and it is very difficult to determine when he ate or drank for the last time. The stress of the accident can slow the digestion and even stop completely. ⋯ Pain and anxiety often present with anatomical deformation may be the cause of panic that should be promptly appeased. For these reasons, there has been an increase in interest in the use of nerve block techniques in children as has been the case in adults. We carry on Brachial Plexus Blocks and Epidural Blocks.
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Acta Anaesthesiol Belg · Jan 1984
Volume limited ventilation for treatment of severe respiratory distress in neonates.
Ventilatory treatment of the very small infant with severe respiratory distress remains controversial. At several occasions pressure limited ventilators have shown not to provide adequate alveolar ventilation in these newborn babies. On the other hand, until now few data are found concerning the ventilation of newborns with volume limited ventilators. The authors report two cases with successful ventilation using a servo controlled volume limited machine and they stress the possibilities and advantages of such a type of ventilator in a neonatal intensive care unit.
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The use of computers in the practice of anesthesiology appears to be very promising--therefore the time has come to reflect on ways to utilize the possibilities of computers in this field. The anesthesiologist is faced with an existing "medical information science" and system developments and must now address these questions: How do computers fit in these systems? What is the kind of support and help one can expect from the use of computers? Next one attempts to define the needs for computer support, taking into account the specific working conditions of various anesthesia teams. A description is made of how a system for medical information is automatized--and by way of an example--how such a computer system for anesthesiologists is linked to a larger regional facility. Advantages and disadvantages of such a system are discussed.