RESUMEN
This study of 97 operations discusses our anaesthetic experience for labio-maxillary clefts and the problems which arise for the anaesthetist during pre-inter and post surgical periods. This type of functional surgery is carried out on children between 4 and 23 months old, of which 22% presented with associated malformations. Paediatric anaesthetic characteristics in a maxillo-facial context are discussed in detail. We indicate the importance of installing the different surveillance elements before placement of the surgical fields. We treat the problems of drug interactions between the halogenic anaesthetics and vasoconstrictor used for local haemostasis, the limits of spontaneous ventilation and the secondary metabolic consequences of prolonged fasting.
Asunto(s)
Anestesia General/métodos , Labio Leporino/cirugía , Fisura del Paladar/cirugía , Maxilar/anomalías , Anomalías Múltiples/cirugía , Humanos , Lactante , Cuidados Intraoperatorios , Maxilar/cirugía , Monitoreo Fisiológico , Cuidados Posoperatorios , Medicación Preanestésica , Cuidados PreoperatoriosRESUMEN
The oto-palato-digital syndrome about which much has been written on the male subject is analysed for a case of a mother and her two daughters which exhibited the main characteristics of the affliction with the exceptions of deafness and cleft-palate. These two manifestations, quoted in the name of the syndrome will be tackled later like its mode of transmission which still remains obscure.