RESUMEN
The technique of locating the laryngeal inlet using breath sounds was attempted on six patients referred for appropriate management following a failed intubation at the Eldoret District Hospital. Five of these were successfully intubated. It was still impossible to intubate the sixth patient who subsequently required a tracheostomy.
Asunto(s)
Auscultación/métodos , Intubación Intratraqueal/métodos , Laringe/anatomía & histología , Ruidos Respiratorios , Adolescente , Adulto , Femenino , Humanos , Intubación Intratraqueal/efectos adversos , Masculino , Traqueostomía , Insuficiencia del TratamientoRESUMEN
Thirty one patients at the Eldoret District Hospital, currently being used as a referral and teaching hospital, were anaesthetised and allowed to breathe through any of the three standard Maplesons circuits. The quantity of halothane required to maintain a satisfactory level of anaesthesia was measured and expressed in millilitres per kilogramme body weight, per minute. This value was used to compare the cost-effectiveness of the three circuits under different modes of ventilation.
Asunto(s)
Anestesia por Inhalación/instrumentación , Anestésicos por Inhalación/administración & dosificación , Halotano/administración & dosificación , Adulto , Anestesia por Inhalación/economía , Peso Corporal , Preescolar , Análisis Costo-Beneficio , Diseño de Equipo , Femenino , Humanos , Recién Nacido , Masculino , Persona de Mediana EdadRESUMEN
OBJECTIVES: To review alternative surgical and anaesthetic options in the management of foreign bodies lodged in the tracheobronchial tree in children aged below 10 years. DESIGN: A five year retrospective secondary data analysis. SETTING: Three hospitals based in Eldoret Municipality, Kenya. MAIN OUTCOME MEASURES: Outcome variables included morbidity and mortality. RESULTS: Of the thirty two children studied, 74.1% had bronchoscopy and 25.9% thoracotomy. The overall mortality rate was 3.3%. CONCLUSION: Foreign bodies in the tracheo-bronchial tree are a major cause of morbidity and mortality in children aged below 10 years. In settings where appropriate equipment is inadequate, timely thoracotomy may be life saving.