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Saroyan John M - - 2009
Epidermolysis bullosa (EB) describes a spectrum of disease from occasional bullae and callus formation to a debilitating life-threatening condition. In this study, we report the use of intravenous ketamine given orally to an infant with a phenotypically severe form of EB simplex, Dowling-Meara subtype, to achieve analgesia during painful dressing ...
Smets Koenraad Jan - - 2010
A newborn presented on day 15 of life with an epidural hematoma, extending through a diastatic sutura squamosa in an external cephalhematoma. There was no skull fracture. The cephalhematoma was punctured twice with 24-h interval, reducing both the cephalhematoma and the epidural component. In the absence of neurological signs or ...
Nabhan Ashraf Fawzy - - 2009
OBJECTIVE: To determine the impact of the method of delivery and type of obstetric anesthesia on oxidative stress in neonates. METHODS: The trial included 164 women in two groups of elective cesarean delivery (CD) and uncomplicated vaginal delivery (VD) at term. The CD group was randomized to either a spinal ...
Sharma J - - 2009
The incidence of fungal endocarditis in premature infants is on the rise, reported in the last decade secondary to use of central venous lines, the frequent use of broad spectrum antibiotics and neonatal surgical interventions. Central line related thrombosis is a significant risk factor for persistent fungemia and end organ ...
Araujo Alexandra prufer de Queiroz Campos Ap Federal University of Rio de Janeiro, Pediatrics, Rio de Janeiro, Brazil. - - 2009
Spinal muscular atrophy (SMA) is an important cause of death in children and SMA type I, also known as Werdnig-Hoffman disease, is the most severe form of this disease. We report 2 cases of infants with SMA I in whom a distal necrosis developed, a feature not previously reported. Poor ...
Abulhasan Y - - 2009
We present a case of a 10-month-old girl with familial dysautonomia, who was scheduled for the insertion of a gastrotomy tube via laparoscopy under general anaesthesia. We used a total i.v. anaesthetic technique including dexmedetomidine and titrated the drug to patients' haemodynamic status and BIS value. Vital signs remained virtually ...
Okafor U V - - 2009
General anaesthesia is recognised as a cause of maternal mortality/morbidity in caesarean deliveries, and regional anaesthesia is believed to reduce anaesthesia-related maternal/fetal morbidity and mortality. The aim of this study is to present the trends of different forms of anaesthesia for caesarean section in Eastern Nigeria. We conducted a retrospective ...
Quezado Zenaide M N - - 2009
We describe the case of an infant undergoing endoscopic repair of a laryngeal cleft where the combination of dexmedetomidine and propofol infusions was used as the anesthetic technique. With this regimen, endotracheal intubation was unnecessary during the perioperative period, the procedure lasted approximately 3h, and the child recovered uneventfully. Historically, ...
Ben Khalifa Sonia - - 2009
Infantile hypertrophic pyloric stenosis (IHPS) associated with metabolic alkalosis, could induce late anesthesia recovery, especially when opioids are used. The aim of this study was to compare the time of extubation and the quality of perioperative analgesia in infants scheduled for pyloromyotomy, receiving either isoflurane inhalation or remifentanil infusion. Thirty ...
Libby Amber - - 2009
Inguinal hernias are the most common diagnosis requiring surgical repair in children of all ages. Anesthetic management of premature infants is often difficult due to their comorbidities and propensity for apnea and bradycardia. General anesthesia has been shown to be associated with an increased incidence of postoperative adverse events. The ...
McCann Mary Ellen - - 2009
Neuronal cell death after general anesthesia has recently been demonstrated in neonatal animal models. The possibility of anesthesia-induced neurotoxicity during an uneventful anesthetic procedure in human neonates or infants has led to serious questions about the safety of pediatric anesthesia. However, the applicability of animal data to clinical anesthesia practice ...
Marsh D F - - 2009
Remifentanil is a synthetic opioid, first introduced into clinical practice in 1996. Its unique pharmacokinetic profile has resulted in a gradual increase in its popularity in paediatric anaesthesia. It is an opioid of high potency and rapid clearance, consequently lacking problems of accumulation. These characteristics give it a high degree ...
Laudenbach V - - 2009
BACKGROUND: Little is known about the influence of anaesthesia for caesarean section on outcome in very preterm infants. METHODS: A prospective, population-based, cohort study (the EPIPAGE cohort) included all births before 33 weeks in nine French regions in 1997. Of 2360 infants live-born between 27 and 32 weeks, 1338 were ...
Wilcox A L - - 2009
Hypoxic/ischemic encephalopathy in a cloned American Quarter horse foal was initially associated with placental insufficiency and exacerbated by protracted hypotension during anesthesia for a surgical procedure. The foal, born at the Texas A&M Veterinary Medical Center, was diagnosed at birth with neonatal maladjustment syndrome that was accompanied by dysmaturity, muscle ...
Davies Joanna M - - 2009
BACKGROUND: Obstetrics carries high medical liability risk. Maternal death and newborn death/brain damage were the most common complications in obstetric anesthesia malpractice claims before 1990. As the liability profile may have changed over the past two decades, the authors reviewed recent obstetric claims in the American Society of Anesthesiologists Closed ...
Fernández-Cruz Laureano - - 2008
OBJECTIVE: To compare the results of postoperative morbidity rate of a new pancreatogastrostomy technique, pylorus-preserving pancreaticoduodenectomy (PPPD) with gastric partition (PPPD-GP) with the conventional technique of pancreaticojejunostomy (PJ). SUMMARY AND BACKGROUND DATA: Pancreatojejunostomy and pancreatogastrostomy (PG) are the commonly preferred methods of anastomosis after pancreatoduodenectomy (PD). All randomized controlled trials ...
Wagner Ann E - - 2008
General anesthesia of horses entails considerable risk of morbidity and mortality. A large-scale, multicenter study reported that the death rate from non-colic-related anesthetics was 0.9%, while the perianesthetic mortality rate at a single, busy equine surgical practice was somewhat more favorable, at 0.12%. While any perianesthetic death is devastating, mortality ...
Disma Nicola - - 2009
BACKGROUND: Infants are noted to frequently sleep during spinal anesthesia, with a concomitant fall in Bispectral Index. However, there are suggestions that EEG derived anesthesia depth monitors have inferior performance in infants. The aim of this study was to quantify the degree of sedation during spinal anesthesia in infants using ...
Deng Meng - - 2008
BACKGROUND: Caudal anesthesia has been increasingly used in abdominal, urinary tract, and lower extremity surgery of infants. However, little was known about the hemodynamic effects of caudal anesthesia in them, especially in neonates. The purpose of this prospective study was designed to investigate the hemodynamic alterations by transthoracic echocardiography in ...
Boran Perran - - 2008
Local anesthesia with prilocaine has become a routine part of ambulatory circumcision procedures. Methemoglobinemia is a rare but potentially lethal complication of local anesthetics. We report the case of a 42-day-old boy who presented with cyanosis after receiving local anesthesia with prilocaine. Methemoglobin level revealed severe methemoglobinemia (methemoglobin=44.5%). His cyanosis ...
Orbach-Zinger S - - 2008
OBJECTIVE: To evaluate the attitude of expectant fathers to the use of epidural analgesia during labor and to compare it to the attitude of their partner. METHODS: The study group consisted of consecutive expectant, first-time parents who presented at the delivery room of a major medical center over a 3-month ...
Batra Yatindra Kumar - - 2008
BACKGROUND: Intrathecal (IT) adjuncts often are used to enhance the duration of spinal bupivacaine. Fentanyl is a spinal analgesic that could be a useful adjunct, and enhances the duration and quality of sensory block in adult surgical and obstetric population. However, no data exist to assess the dose-response characteristics of ...
Yeh Ming-Lun - - 2008
BACKGROUND: Tongue-tie is a common but often neglected condition. The indications and the techniques for its division are still controversial. In this report, I will present my personal experience and advocate early and aggressive treatment. METHODS: Two different techniques are used to divide the tongue-tie at the outpatient clinic without ...
Bercovici Eduard - - 2008
OBJECTIVE: Patients must remain immobile for magnetoencephalography (MEG) and MRI recordings to allow precise localization of brain function for pre-surgical functional mapping. In young children with epilepsy, this is accomplished with recordings during sleep or with anesthesia. This paper demonstrates that MEG can detect, characterize and localize somatosensory-evoked fields (SEF) ...
van Loon Piet J M - - 2008
STUDY DESIGN: A prospective radiographic study was conducted. OBJECTIVE: To support our hypothesis that correction of the scoliosis may benefit from a lordotic fulcrum force in the sagittal plane on the thoracolumbar spine. SUMMARY OF BACKGROUND DATA: Adolescent idiopathic scoliosis is an important spinal deformity. Correction can be achieved with ...
Sedaghat Negin - - 2008
BACKGROUND: Many factors may effect blood pressure (BP) in the early neonatal period, including mode of delivery and anaesthesia, on which there is little reported. AIMS: To determine whether the mode of delivery, anaesthesia and maternal age have an effect on neonatal BP in the first three days of life. ...
Kost-Byerly Sabine - - 2008
OBJECTIVE: Reconstruction of bladder exstrophy in newborn infants requires immobilization, sedation and pain management to prevent distracting forces from compromising the repair. We present a 6-year review of our experience. SUBJECTS AND METHODS: We reviewed the perioperative management of newborn infants undergoing reconstruction between November 1999 and October 2006. Data ...
Watanabe Kazuhiro - - 2008
A 3-month-old boy with retractive breathing from his birth was scheduled for a rigid bronchoscopic examination. Anesthesia was induced and maintained with sevoflurane. The examination revealed a slight laryngomalacia which was not compatible with his severe symptom. During the procedure, no respiratory deterioration occurred. He was once extubated in the ...
Singh Iqbal - - 2008
PURPOSE: To prospectively evaluate and study the role, relative safety, and effectiveness of "tubeless" percutaneous nephrolithotomy (PCNL) and whether it is really less morbid vis-à-vis PCNL with a nephrostomy tube; to compare the postoperative pain, analgesia requirement, hospital stay, return to work time, and other parameters in patients undergoing tubeless ...
Rothstein S - - 2008
Numerous studies have documented the consequences of exposure to anesthesia in models of term and post-term infants, evaluating the incidence of cell loss, physiological alterations and cognitive dysfunction. However, surprisingly few studies have investigated the effect of anesthetic exposure on outcomes in newborn rodents, the developmental equivalent of premature human ...
Jonmarker Christer - - 2008
The loss-of-resistance technique was used to place a 20G epidural needle in the lumbar region in an anesthetized and paralyzed infant. There was no cerebrospinal fluid (CSF) leakage and a 24G catheter was inserted through the needle. At end of surgery, when the patient was breathing spontaneously and a bupivacaine ...
Adam Clayton J - - 2008
STUDY DESIGN: Biomechanical analysis. OBJECTIVE: To investigate the relationship between gravity-induced torques acting on the scoliotic spine and rotation within the vertebrae. SUMMARY OF BACKGROUND DATA: Vertebral rotation is an important aspect of spinal deformity in idiopathic scoliosis, associated with ribcage asymmetry. Although both lateral curvature and rotation seem to ...
Vasdev Gurinder M - - 2008
Difficulty with airway management in obstetric patients occurs infrequently and failure to secure an airway is rare. A failed airway may result in severe physical and emotional morbidity and possibly death to the mother and baby. Additionally, the family, along with the medical and nursing staff, may face emotional and ...
Cheong S P - - 2008
Congenital epulis is a rare intraoral tumour of the newborn arising from gingival mucosa, most commonly from the alveolar ridge. It may interfere with normal feeding or potentially compromise respiration. We describe the anaesthetic management of one such case of a female infant born with a single epulis, approximately 3 ...
Gorchynski Julie - - 2008
Lumbar Puncture (LP) is an invasive procedure frequently used to diagnose meningitis among the pediatric population. Neonates and infants have not routinely received local anesthesia prior to LP. To determine whether emergency medicine physicians and pediatricians use local analgesics on neonates and infants prior to performing an LP and to ...
Cooper G M - - 2008
This chapter concerning maternal mortality due to anaesthesia, reprinted with permission from Saving Mothers' Lives, is the 18th in a series of reports within the Confidential Enquiries into Maternal and Child Health (CEMACH) in the UK. In the years 2003-05 there were six women who died from problems directly related ...
Afroza Shahnaz - - 2008
We report a case of a 4-month-old male infant with lumbar meningomyelocele. During surgical repair there was severe systemic hypotension. Though the occurrence of intraoperative hypotension during meningomyelocele repair has been suggested, the exact mechanism remains unknown. While fluid loss is believed to be the main cause of the systemic ...
Tuckey J P - - 2008
BACKGROUND: Intramuscular opioids are widely used for analgesia in labour. We conducted a postal survey to establish current prescribing and monitoring guidelines for intramuscular opioids in consultant-led obstetric units in the UK. METHODS: A postal questionnaire was sent between December 2005 and January 2006 to the lead obstetric anaesthetist of ...
Dabarakis Nikolaos N - - 2007
OBJECTIVES: To clinically evaluate the jet injection Injex (Rösch AG Medizintechnik) using 2 different anesthetic solutions, and to compare the jet injection and the standard needle injection techniques. METHOD AND MATERIALS: Of the 32 patients in the study, 10 received mepivacaine 3% anesthetic solution by means of the jet injection ...
Somri Mostafa - - 2007
BACKGROUND: Combined spinal-epidural anesthesia (CSE-A) is reportedly safe and effective for the pediatric population in infraumbilical surgery. Our main purpose was to describe our experience of this technique in neonates and infants undergoing elective major upper abdominal surgery. METHODS: Spinal anesthesia was performed in 28 neonates and infants with isobaric ...
Kalina Peter - - 2008
We describe the clinical manifestations, radiographic features, and management options of an extensive spontaneous spinal epidural hematoma in a 7-month boy who had severe hemophilia that had not been previously diagnosed, despite a baseline factor VIII level less than 1% of normal. We believe this to be the youngest reported ...
Martin T C - - 2007
Regional anaesthesia has become the anaesthetic of choice for Caesarean section (CS) in developed countries, with use extended to smaller, less developed countries in the past decade. This study is a comparison of maternal and neonatal outcomes comparing general anaesthesia (GA) and the early experience with spinal anaesthesia (SA) for ...
Stamer U M - - 2007
BACKGROUND: We assessed current practice regarding indications and contraindications to regional analgesia and anaesthesia for labour and delivery in Germany. METHODS: Questionnaires were mailed to the directors of 918 German departments of anaesthesiology. RESULTS: A total of 397 completed replies were received representing 41.3% of all deliveries in Germany. More ...
Mac-Thiong Jean-Marc - - 2007
STUDY DESIGN: Quantitative versus subjective evaluation of sacral doming in lumbosacral spondylolisthesis. OBJECTIVES: To evaluate the relevance of the Spinal Deformity Study Group (SDSG) index in the assessment of sacral doming and to propose a quantitative criterion to differentiate between significant and nonsignificant doming. SUMMARY OF BACKGROUND DATA: There is ...
Mertes Paul Michel - - 2007
BACKGROUND: Numerous reports confirm the performance of intradermal tests for the diagnosis of anaphylaxis during anesthesia; however, there is controversy over their diagnostic value regarding the newer neuromuscular blocking agents (NMBAs). METHODS: One hundred eleven healthy volunteers were randomly assigned to receive intradermal injections of two NMBAs, at five increasing ...
Namba Robert S - - 2007
Manipulations have been considered effective only in the early postoperative period. From a total joint registry containing 9640 primary total knee arthroplasties (TKAs), 195 patients who underwent manipulation under anesthesia (MUA) were identified. A total of 102 had MUA within 90 days (early), and 93 more than 90 days (late) ...
Kim Chong-Sup - - 2007
A male deformed Korean native calf was examined macroscopically. The deformed calf had no caudal vertebral columns from 5th lumbar vertebra, sacrum and coccygeal vertebrae. The spinal cord was terminated in the vertebral foramen of the 3rd lumbar vertebra. The cervical vertebrae had scoliosis and the 3rd and 4th cervical ...
Mhyre Jill M - - 2007
BACKGROUND: Maternal Mortality Surveillance has been conducted by the State of Michigan since 1950, and anesthesia-related maternal deaths were most recently reviewed for the years 1972-1984. METHODS: Records for pregnancy-associated deaths between 1985 and 2003 were reviewed to identify 25 cases associated with a perioperative arrest or major anesthetic complication. ...
Saudan Sonja - - 2007
BACKGROUND: The implementation of sevoflurane in pediatric anesthesia practice led to a decrease in the incidence of cardiac arrest previously reported with halothane. Nevertheless, the effects of sevoflurane on cardiac rhythm and function have not been systematically investigated in infants. Thus, we compared cardiac rhythm and left ventricular function at ...
Bezuhly Michael - - 2007
The elective use of low-dose epinephrine in hand surgery has allowed for the performance of simple operative procedures with tourniquet-free pure local anesthesia (the wide-awake approach). The absence of general anesthesia or sedation has, in turn, allowed for the observation of how quickly the sensorimotor cortex adapts following procedures such ...
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