Document Detail

Use of the laryngeal mask airway during repair of atrial septal defect in children.
MedLine Citation:
PMID:  10320606     Owner:  NLM     Status:  MEDLINE    
We describe the elective use of the laryngeal mask airway in two children undergoing cardiopulmonary bypass for repair of an atrial septal defect. Total surgical time was short and cardiopulmonary bypass performed at normothermia allowing removal of the laryngeal mask airway on the operating table on completion of surgery. We were able to adequately oxygenate and ventilate the children throughout the procedure using positive pressure ventilation and spontaneous ventilation. The use of caudal fentanyl and rectal diclofenac aided postoperative pain management. Atrial septal defect repair has become one of the more straightforward cardiac operations partly as a result of new cardiopulmonary bypass techniques. Avoidance of intubation and postoperative ventilation in appropriate patients would make this procedure ideal for 'fast tracking' and offers the potential advantages of decreased length of stay in hospital and reduction in overall costs.
M Zerafa; S Baulch; M J Elliott; A J Petros
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Paediatric anaesthesia     Volume:  9     ISSN:  1155-5645     ISO Abbreviation:  Paediatr Anaesth     Publication Date:  1999  
Date Detail:
Created Date:  1999-06-07     Completed Date:  1999-06-07     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  9206575     Medline TA:  Paediatr Anaesth     Country:  FRANCE    
Other Details:
Languages:  eng     Pagination:  257-9     Citation Subset:  IM    
St Luke's Hospital, Guardamangia, Malta.
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MeSH Terms
Administration, Rectal
Analgesia, Epidural
Analgesics, Opioid / administration & dosage,  therapeutic use
Anesthetics, Inhalation / administration & dosage
Anti-Inflammatory Agents, Non-Steroidal / administration & dosage,  therapeutic use
Body Temperature
Cardiopulmonary Bypass
Child, Preschool
Cost Control
Diclofenac / administration & dosage,  therapeutic use
Fentanyl / administration & dosage,  therapeutic use
Heart Septal Defects, Atrial / surgery*
Intermittent Positive-Pressure Ventilation
Laryngeal Masks*
Length of Stay
Nitrous Oxide / administration & dosage
Oxygen / administration & dosage
Pain, Postoperative / drug therapy
Time Factors
Reg. No./Substance:
0/Analgesics, Opioid; 0/Anesthetics, Inhalation; 0/Anti-Inflammatory Agents, Non-Steroidal; 10024-97-2/Nitrous Oxide; 15307-86-5/Diclofenac; 437-38-7/Fentanyl; 7782-44-7/Oxygen
Comment In:
Paediatr Anaesth. 1999;9(6):552-3   [PMID:  10597565 ]
Paediatr Anaesth. 1999;9(6):553   [PMID:  10597566 ]

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