http://www.smo.edu.mx/jornada2013/
Anestesia regional en el neonato
Regional anaesthesia and analgesia in the neonate
Per-Arne Lönnqvist, MD, DEAA, FRCA, PhD, Professor of Paediatric
Anaesthesia &; Intensive Care, Senior Consultant
http://web.clas.ufl.edu/users/msscha/PremedCSS/analgesics_infants.pdf
Consideraciones anestésicas en emergencias quirúrgicas neonatales
Anaesthetic consideration for neonatal surgical emergencies.
Pani N, Panda CK.
Indian J Anaesth [serial online] 2012 [cited 2013 Mar 9];56:463-9.
A newborn requires constant vigilance, rapid recognition of the events and swift intervention during anaesthesia. The anaesthetic considerations in neonatal surgical emergencies are based on the physiological immaturity of various body systems, poor tolerance of the anaesthetic drugs, associated congenital disorders and considerations regarding the use of high concentration of oxygen. The main goal is for titration of anaesthetics to desired effects, while carefully monitoring of the cardiorespiratory status. The use of regional anaesthesia has shown to be safe and effective. Advancements in neonatology have resulted in the improvement of the survival of the premature and critically ill newborn babies. Most of the disorders previously considered as neonatal surgical emergencies in the past no longer require immediate surgery due to new technology and new methods of treating sick neonates. This article describes the common neonatal surgical emergencies and focuses on factors that affect the anaesthetic management of patients with these disorders.
Keywords: Anaesthesia, emergency surgeries, neonate
http://www.ijaweb.org/text.asp?2012/56/5/463/103962
Manejo anestésico para laparotomía urgente en un neonato con artrogriposis congénita múltiple
Anesthetic management of a neonate with arthrogryposis multiplex congenita for emergency laparotomy.
Chowdhuri R, Samui S, Kundu AK.
Department of Anesthesiology, R.G.Kar Medical College, Kolkata, India.
J Anaesthesiol Clin Pharmacol. 2011 Apr;27(2):244-6. doi: 10.4103/0970-9185.81831.
Abstract
Arthrogryposis multiplex congenita is a rare disease, characterized by non-progressive, multiple joint contractures since birth. Anesthetic issues include difficult intravenous access, difficult airway management and regional anesthesia. We report the anesthetic management of a six-day-old neonate presenting to the emergency with features of intestinal obstruction, who was detected for the first time to have arthrogryposis multiplex congenita. General anesthesia along with caudal analgesia for peroperative and postoperative pain relief was used. There was an episode of intraoperative hyperthermia, which was tackled successfully. The child had an uneventful post-anesthesia recovery.
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3127309/
Atentamente
Dr. Enrique Hernández-Cortez
Anestesiología y Medicina del Dolor
www.anestesia-dolor.org
Regional anaesthesia and analgesia in the neonate
Per-Arne Lönnqvist, MD, DEAA, FRCA, PhD, Professor of Paediatric
Anaesthesia &; Intensive Care, Senior Consultant
http://web.clas.ufl.edu/users/msscha/PremedCSS/analgesics_infants.pdf
Consideraciones anestésicas en emergencias quirúrgicas neonatales
Anaesthetic consideration for neonatal surgical emergencies.
Pani N, Panda CK.
Indian J Anaesth [serial online] 2012 [cited 2013 Mar 9];56:463-9.
A newborn requires constant vigilance, rapid recognition of the events and swift intervention during anaesthesia. The anaesthetic considerations in neonatal surgical emergencies are based on the physiological immaturity of various body systems, poor tolerance of the anaesthetic drugs, associated congenital disorders and considerations regarding the use of high concentration of oxygen. The main goal is for titration of anaesthetics to desired effects, while carefully monitoring of the cardiorespiratory status. The use of regional anaesthesia has shown to be safe and effective. Advancements in neonatology have resulted in the improvement of the survival of the premature and critically ill newborn babies. Most of the disorders previously considered as neonatal surgical emergencies in the past no longer require immediate surgery due to new technology and new methods of treating sick neonates. This article describes the common neonatal surgical emergencies and focuses on factors that affect the anaesthetic management of patients with these disorders.
Keywords: Anaesthesia, emergency surgeries, neonate
http://www.ijaweb.org/text.asp?2012/56/5/463/103962
Manejo anestésico para laparotomía urgente en un neonato con artrogriposis congénita múltiple
Anesthetic management of a neonate with arthrogryposis multiplex congenita for emergency laparotomy.
Chowdhuri R, Samui S, Kundu AK.
Department of Anesthesiology, R.G.Kar Medical College, Kolkata, India.
J Anaesthesiol Clin Pharmacol. 2011 Apr;27(2):244-6. doi: 10.4103/0970-9185.81831.
Abstract
Arthrogryposis multiplex congenita is a rare disease, characterized by non-progressive, multiple joint contractures since birth. Anesthetic issues include difficult intravenous access, difficult airway management and regional anesthesia. We report the anesthetic management of a six-day-old neonate presenting to the emergency with features of intestinal obstruction, who was detected for the first time to have arthrogryposis multiplex congenita. General anesthesia along with caudal analgesia for peroperative and postoperative pain relief was used. There was an episode of intraoperative hyperthermia, which was tackled successfully. The child had an uneventful post-anesthesia recovery.
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3127309/
Atentamente
Dr. Enrique Hernández-Cortez
Anestesiología y Medicina del Dolor
www.anestesia-dolor.org
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