Document Detail


Ventricular fibrillation in an ex-premature neonate following reperfusion of ischemic gut incarcerated within an inguinal hernia.
MedLine Citation:
PMID:  20670241     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
We describe the case of a neonate who underwent surgery for bowel obstruction. The child was born at 25 weeks postconception, and at the time of surgery, he had a postconceptual age of 44 weeks. He had undergone two previous laparotomy procedures for necrotizing enterocolitis. At laparotomy, there was unexpected extensive compromise to gut perfusion. The child developed ventricular fibrillation following the reperfusion of a segment of ischemic gut found incarcerated in an inguinal hernial orifice. We discuss the pathophysiology of intestinal ischemia-reperfusion (I-R) injury. We have reviewed the interventions that may be employed to minimize the systemic impact of I-R.
Authors:
Mark Allford; Stephanie Bew
Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Paediatric anaesthesia     Volume:  20     ISSN:  1460-9592     ISO Abbreviation:  Paediatr Anaesth     Publication Date:  2010 Aug 
Date Detail:
Created Date:  2010-07-30     Completed Date:  2010-11-22     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9206575     Medline TA:  Paediatr Anaesth     Country:  France    
Other Details:
Languages:  eng     Pagination:  763-6     Citation Subset:  IM    
Affiliation:
Leeds General Infirmary, Leeds, UK. Mark.allford@dsl.pipex.com
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MeSH Terms
Descriptor/Qualifier:
Enterocolitis / surgery
Fatal Outcome
Hernia, Inguinal / surgery*
High-Frequency Ventilation
Humans
Infant
Infant, Newborn
Infant, Premature*
Intestinal Obstruction / physiopathology*,  surgery*
Male
Postoperative Complications / physiopathology*,  therapy
Reperfusion Injury / etiology*
Ventricular Fibrillation / etiology*,  physiopathology,  therapy

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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