Hemodynamic monitoring using PiCCO system in a 10 months old infant suffering from serious burn injury.

In this study, authors present a case report of a 10 months old patient with burn injuries involving 20.5 % body surface area, grades 2a and 2b. According to the continuous monitoring of hemodynamic parameters by PiCCO (Pulsion Medical Systems, Munich, Germany), fluid therapy was successfully managed. Despite of an increasing EVLWI (extravascular lung water index) it was possible to preserve the child from lung edema and subsequent artificial lung ventilation by the early targeted therapeutic interventions. Moreover, the study analyzes the possibilities and indications of less invasive hemodynamic monitoring supplied by PiCCO in children (Tab. 2, Fig. 3, Ref. 7). Full Text (Free, PDF) www.bmj.sk.

Penile block in children, our first experience.

Penile block has been in use in penile surgery as a technique for perioperative analgesia for 25 years. The authors reintroduced penile block on the Department of Paediatric Anaesthetics and Intensive Care at the University Children's Hospital in Bratislava, Slovakia in June 2004 after 8 years. This prospective open observational study presents their experience with penile block for elective penile surgery in 96 paediatric patients (Tab. 3, Ref. 14).

[Inborn disorders of amino acid metabolism as etiologic factors in progressive encephalopathy in the early neonatal period]. / Urodeni poremecaji metabolizma aminokiselina kao etioloski faktor progresivne encefalopatije u ranom neonatalnom periodu.

The authors report three cases of neonates with severe, progressive encephalopathy provoked by congenital disturbances of amino acid metabolism (hyperglycinemia, citrulinemia, and hyperamoniemia type: II). The occurrence of convulsions is particularly pointed out, because they are the most indicative signs of brain damage manifested in the first seven days of life.

[Convulsions in neonates and early neonatal mortality]. / Konvulzije u novorodencadi i rani neonatalni mortalitet.

The relationship between the early onset of convulsions in the early neonatal period and mortality was studied in 130 (0.26%) children with the birth weight exceeding 2,000 g in whom early neonatal convulsions were recorded. Early neonatal mortality in this group was very high reaching 25.4%. The peak mortality was noted in the first 12 hrs after birth (80.9%) and in the first 24 hrs (60.0%). In the cases of a postponed occurrence of convulsions, the mortality rate of neonates significantly decreases (p less than 0.01).