1/6. Total intravenous anaesthesia for tracheobronchial stenting in children.Stenosis and malacia of the tracheobronchial tree, most often secondary to prolonged intubation, tracheostomy or following correction of a congenital cardiac lesion, present a significant therapeutic problem, especially when the lesions are extensive. The utilization of self-expanding tracheobronchial stents is a useful addition to the medical armamentarium for maintenance of airways in these patients with major airway stenosis and collapse. The majority of previous reported cases of tracheobronchial stenting have been performed under general anaesthesia with the help of rigid bronchoscopy under direct vision. We conducted two cases of tracheobronchial stenting in postoperative cardiosurgical babies under continuous propofol infusion taking advantage of cardiovascular stability during continuous infusion and rapid emergence after its discontinuation.- - - - - - - - - - ranking = 1keywords = anaesthesia (Clic here for more details about this article) |
2/6. Serious sequelae of delayed diagnosis of endobronchial tuberculosis.We report three cases of pulmonary tuberculosis in whom the diagnosis of the endobronchial component was missed initially. Despite proper chemotherapy, one patient had bronchostenosis leading to acute respiratory failure and death, the second developed collapse of the left lung, while failure of endotracheal intubation for general anaesthesia was the immediate problem faced by the third patient.- - - - - - - - - - ranking = 0.2keywords = anaesthesia (Clic here for more details about this article) |
3/6. Intraoperative death during caesarian section in a patient with sickle-cell trait. The Anaesthesia Advisory Committee to the Chief Coroner of ontario.The case of a woman with sickle cell trait who sustained a cardiac arrest and died during a Caesarian section under general anaesthesia is reported. Because the common causes of intraoperative hypoxia and shock were ruled out in this case, we believe that death was due to severe concealed aorto-caval compression. After delivery, the release of a large volume of hypoxaemic, acidotic blood with sickled cells could cause cardiac depression and arrest. The fact that the patient's mucous membranes were pink and she was haemodynamically stable while her uterus was cyanotic prior to delivery provides some positive evidence for this hypothesis. We emphasize that while complications secondary to sickle cell trait during general anaesthesia are very rare, they can occur. We discuss methods of monitoring such patients.- - - - - - - - - - ranking = 0.4keywords = anaesthesia (Clic here for more details about this article) |
4/6. Anaesthetic complications of mediastinal masses and superior vena caval obstruction.Two patients with mediastinal tumour and superior vena caval obstruction who, after general anaesthesia, experienced respiratory difficulties requiring intubation or reintubation are presented. Possible aetiological mechanisms are discussed in relation to these cases.- - - - - - - - - - ranking = 0.2keywords = anaesthesia (Clic here for more details about this article) |
5/6. A case of cryptococcoma producing tracheal obstruction during anaesthesia.A case of cryptococcoma of the right upper lobe producing tracheal obstruction during anaesthesia is reported. Whilst conscious the patient breathed spontaneously with little difficulty. The reasons underlying complete tracheal obstruction during anaesthesia are discussed.- - - - - - - - - - ranking = 1.2keywords = anaesthesia (Clic here for more details about this article) |
6/6. Unexpected brainstem compression following routine surgery in a child with oto-palato-digital syndrome.Oto-palato-digital syndrome type 1 is a rare condition with several features of concern to the anaesthetist. We report a patient who developed respiratory depression 5 h after general anaesthesia. This was subsequently found to be due to brainstem compression secondary to congenital deformities of the skull base and cervical vertebrae.- - - - - - - - - - ranking = 0.2keywords = anaesthesia (Clic here for more details about this article) |