Anesthesia management in patients with choanal atresia.
In conclusion, clinicians should be aware of perioperative and postoperative complications in patients with CA, bilateral atresia, and accompanying congenital anomalies in the neonatal period. Total intravenous anesthesia can be chosen instead of inhalation anesthesia in appropriate cases, but sevoflurane can be used safely in the induction of anesthesia. PMID: 31191128 [PubMed]
Conclusion Patients undergoing laparoscopic CDO repair at our institution benefited from shorter time to full enteral feeds, and reduced the need for PN as well as postoperative pain medication. [...] Georg Thieme Verlag KG Stuttgart · New YorkArticle in Thieme eJournals: Table of contents | Abstract | Full text
Abstract The determination of the exact cause for symptomatic airway obstruction in pediatric patients not responding to medication can be a clinical dilemma. Very rarely external vascular compressions can produce airway obstruction symptoms unresponsive to usual bronchodilator medications. The successful management of a child with pulmonary atresia and an innominate artery compression syndrome with respiratory compromise due to tracheal compression is described. PMID: 31621687 [PubMed - in process]
We report a case of extrahepatic biliary atresia with multiple anomalies involving the hepatic arteries, portal vein, cystic artery, arterioportal fistula and shunting, intrahepatic portal vein radicals, kidney, and external genitalia. The merits of the case from various standpoints including its implications for etiopathogenesis, caution during surgical anesthesia or postoperative management, and enrichment of the literature have been discussed.
ConclusionsCHD was not associated with anastomotic leakage or stricture. The only significant predictor of anastomotic leakage was duration of anesthesia.
CONCLUSIONS: Open and thoracoscopic correction of esophageal atresia were associated with periods of severe metabolic derangements. These events need to be taken into account for the evaluation of esophageal atresia (surgical) care and in evaluations of short- and long-term outcomes. This article is protected by copyright. All rights reserved. PMID: 31343794 [PubMed - as supplied by publisher]
This report detailed the anesthetic management of a 24-year-old primigravid woman with PA/VSD/MAPCAs.
CONCLUSION: Use of bronchoscopy varies considerably between institutions. Infants undergoing tracheo-oesophageal fistula repair are at risk of peri-operative respiratory morbidity. The advent of thoracoscopic repair has introduced further variation. This article is protected by copyright. All rights reserved. PMID: 30811748 [PubMed - as supplied by publisher]
This article is protected by copyright. All rights reserved. PMID: 30592354 [PubMed - as supplied by publisher]
Rationale: Congenital high airway obstruction syndrome (CHAOS) is defined as complete or partial obstruction of the fetal upper airways. Laryngeal atresia is the most frequent cause. Patient concern: A male neonate born with poor reactions, weakly spontaneous breathing and cyanosis of the limbs was referred to our hospital. Diagnosis: CHAOS with tracheoesophageal fistula. Intervention: A tracheostomy was performed and a 3.0-mm internal diameter tracheostomy tube was inserted. Outcomes: Neonatal survival depended on our immediate postnatal intervention. Lessons: In summary, a multidisciplinary team includin...
CONCLUSIONS: In contrast to historically reported trends, evaluation of current transfusion practices reveals that most patients undergoing liver transplantation receive