La Pediatria medica e chirurgica : Medical and surgical pediatrics
-
Bupivacaine induced caudal block as unique anaesthetic procedure in 80 children who underwent surgical correction of hypospadias, resulted of great efficacy and easy employment. Furthermore, the method permitted to avoid intubation and the use of general anaesthetic drugs with their relative complications and provided a great postoperative analgesia.
-
Bronchial hyperreactivity is a common report in several respiratory tract diseases such as bronchial asthma, chronic bronchitis and cystic fibrosis. Atopic patients and children who suffered lung diseases in early life (laryngotracheobronchitis, bronchiolitis, bronchopulmonary dysplasia) may have also persistent abnormalities in pulmonary function that frequently include bronchial hyperreactivity. A review of the actual literature, specially concerning with the clinical aspects of bronchial hyperreactivity in children and with the possible etiopathogenetic mechanism is presented.
-
The authors report their experience of a serial follow-up for congenital dysplasia of the hip (CDH). 699 babies born during a three-months period were examined on their first day of life, on the forth and at the age of 1 and 6 months. 2 dislocated hips, 222 clicking hips were discovered in the neonatal period. At the first month 1 dislocated hip and only 6 clicking hips were detected. ⋯ X-ray examination confirmed clinical dislocation diagnosis and showed pathological signs (subluxation and acetabular dysplasia) also in normal and clicking hips. According to their results the authors suggest that clinical examination during the first 6 months of life and X-ray can decrease the incidence of late diagnosis of CDH.
-
Case Reports
[A case of paralysis of the right diaphragm with paralysis of the contralateral brachial plexus].
We describe a case of unilateral diaphragmatic paralysis following a distocic delivery. We think that the rarity of this syndrome in only apparent while, if investigated with fluoroscopy, much more cases can be discovered. Our case is interesting too since the Erb's palsy was contralateral to the diaphragmatic paralysis; that occurs in very few cases.
-
A premature newborn developed left sciatic palsy and gluteal necrosis following umbilical artery catheterization. A six-year follow-up revealed an one-cm shortening of the left leg and foot, with an appreciable functional recovery. In connection with this rare thromboembolic complication of catheterization, we reviewed the Literature about the pathogenetic and clinical aspects of foot-drop and gluteal necrosis.