Document Detail

Anaesthesia for repair of neonatal diaphragmatic hernia and eventration: role of ketamine infusion.
MedLine Citation:
PMID:  2058307     Owner:  NLM     Status:  MEDLINE    
Management of neonates with congenital diaphragmatic defects who have symptoms within hours of birth is still unsatisfactory. The mortality reported for these high-risk infants ranges from 20% to 80%. Anaesthesia for repair of these defects is nonetheless the most perilous phase in these conditions. Surgery often worsens the situation with regard to blood gases. The anaesthesia has to fulfil the criteria for neonatal surgery and thoracic surgery with the added components of elevated pulmonary vascular resistance and pulmonary hypoplasia. The mortality figures are worse if there is lack of a proper neonatal intensive care facility. The management of two such cases is discussed with special stress upon use of the ketamine infusion technique as an alternative safe anaesthetic regime.
N Yaubihi; G S Oberoi; A M Srinivasa
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Papua and New Guinea medical journal     Volume:  34     ISSN:  0031-1480     ISO Abbreviation:  P N G Med J     Publication Date:  1991 Mar 
Date Detail:
Created Date:  1991-07-30     Completed Date:  1991-07-30     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0376417     Medline TA:  P N G Med J     Country:  PAPUA NEW GUINEA    
Other Details:
Languages:  eng     Pagination:  69-74     Citation Subset:  IM    
Goroka Base Hospital, Papua New Guinea.
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MeSH Terms
Anesthesia, Intravenous / methods*
Diaphragmatic Eventration / radiography,  surgery*
Hernia, Diaphragmatic / congenital,  radiography,  surgery*
Infant, Newborn
Intraoperative Care*
Ketamine / administration & dosage*
Reg. No./Substance:

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