1/2. Acute horner syndrome due to thoracic epidural analgesia in a paediatric patient.A 4-year-old boy with coarctation of the aorta underwent surgical aortic arch repair with general anaesthesia and thoracic epidural analgesia. In the immediate postoperative period, the child developed a unilateral horner syndrome which appeared to be related to the epidural infusion rate. Management of this patient as well as alternate aetiologies of horner syndrome are described. horner syndrome is a rare complication of epidural catheters and is often unrecognized, especially in children.- - - - - - - - - - ranking = 1keywords = anaesthesia (Clic here for more details about this article) |
2/2. Recurrent intraoperative lobar collapse.We present a case report of an asymptomatic 12-year-old girl who was incidentally noted to have a collapsed upper lobe of her right lung during anaesthesia for angiography. After initial success at reexpansion using manual ventilation and suctioning, the lobe collapsed again some 15 min later. Physiological parameters remained stable throughout. Consent was obtained for fibreoptic bronchoscopy which was performed uneventfully and resulted in reexpansion of the lobe. We discuss the difficulty in identifying patients at risk of this complication, the need for therapeutic intervention and the issue of consent.- - - - - - - - - - ranking = 1keywords = anaesthesia (Clic here for more details about this article) |