Assuntos
Carne Vermelha , Animais , Anti-Inflamatórios/farmacologia , Antineoplásicos , Bovinos , Carne , Hidrolisados de ProteínaRESUMO
A case of somatosensory evoked potential (SSEP) induced electrocardiographic artefact simulating supraventricular tachycardia (SVT) is described in a three year old girl with Goldenhar syndrome, during anterior thoracoscopic discectomy with posterior spinal fusion for scoliosis. Adenosine was administered for this misinterpreted EKG with coincidental cessation of SVT like trace.
Assuntos
Artefatos , Eletrocardiografia , Potenciais Somatossensoriais Evocados , Monitorização Intraoperatória , Escoliose/cirurgia , Pré-Escolar , Discotomia , Feminino , Humanos , Fusão Vertebral , Taquicardia Supraventricular/diagnósticoRESUMO
Alagille's syndrome is an inherited disorder affecting multiple organ systems. Most characteristic is the paucity of the interlobular bile ducts with cholestasis. The anaesthetic plan for these patients should be based on careful preoperative preparation and attention to the issues involving hepatobiliary, cardiac, neurodevelopmental, nutritional, haematological, ocular and facial abnormalities. We report the case of a five-and-a-half-year old patient with Alagille's syndrome who sustained a pathological fracture of the femur and was scheduled for closed reduction and application of a hip spica cast. Relevant anaesthetic issues are discussed.
Assuntos
Síndrome de Alagille , Anestesia/métodos , Pré-Escolar , Feminino , HumanosRESUMO
Fibreoptic bronchoscopic guided tracheal intubation is often the first choice for clinicians familiar with the technique, when faced with a patient in whom tracheal intubation presents known or possible difficulties. Regardless of the technique chosen, anticipated and unanticipated problems may arise. We report three patients with known difficult airways that illustrate the utility of light wand guided oral and nasotracheal intubation when tracheal intubation with fibreoptic bronchoscopy proved impossible.