Document Detail


The anaesthetic management of a case of Kawasaki's disease (mucocutaneous lymph node syndrome) and Beckwith-Weidemann syndrome presenting with a bleeding tongue.
MedLine Citation:
PMID:  9836215     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
An unusual case of a 13-month-old child with Kawasaki's disease and the Beckwith-Weidemann syndrome is presented. The child, while anticoagulated with warfarin and aspirin to prevent extension of a coronary artery thrombus, fell and lacerated the tongue resulting in haemorrhage and significant swelling. The ongoing haemorrhage, combined with difficulty in securing venous access resulted in the child becoming shocked. Surgical intervention was required to stem the haemorrhage. The anaesthetic management of a shocked child with a coronary artery aneurysm and thrombosis, a potentially difficult airway and a full stomach is described.
Authors:
M L Thomas; A McEwan
Related Documents :
7302815 - Toe pulse study in ischemic arterial disease of the legs.
2659185 - Kawasaki syndrome.
17389785 - Electron-beam computerized tomography correlates with coronary angiogram in chronic kid...
2404645 - Update on intravenous dipyridamole cardiac imaging in the assessment of ischemic heart ...
127565 - The natural history of bilateral aortofemoral bypass grafts for ischemia of the lower e...
2929995 - The patient's position influences the incidence of dysrhythmias during pulmonary artery...
Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Paediatric anaesthesia     Volume:  8     ISSN:  1155-5645     ISO Abbreviation:  Paediatr Anaesth     Publication Date:  1998  
Date Detail:
Created Date:  1999-02-12     Completed Date:  1999-02-12     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  9206575     Medline TA:  Paediatr Anaesth     Country:  FRANCE    
Other Details:
Languages:  eng     Pagination:  500-2     Citation Subset:  IM    
Affiliation:
Department of Anaesthesia, Great Ormond Street Hospital for Sick Children NHS Trust, London, UK.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:
Accidental Falls
Anesthesia, Inhalation
Anticoagulants / adverse effects,  therapeutic use
Beckwith-Wiedemann Syndrome / complications*
Humans
Infant
Intubation, Intratracheal
Macroglossia / complications*
Male
Mucocutaneous Lymph Node Syndrome / complications*
Oral Hemorrhage / etiology,  surgery*
Shock / etiology
Tongue / injuries*
Chemical
Reg. No./Substance:
0/Anticoagulants

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


Previous Document:  Propofol infusion syndrome in children.
Next Document:  Severe bronchial hyperreactivity as a sequel to congenital diaphragmatic hernia.