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1/2. Pulmonary collapse during anaesthesia in children with respiratory tract symptoms.

    A frequent dilemma facing the anaesthetist is the child with respiratory tract symptoms. The risks of anaesthesia and surgery in these patients have not been clearly established. We present three cases which illustrate a potentially serious complication which may arise. Our patients each had symptoms of cough, but were systemically healthy. Two of the children had absent clinical signs, whilst the third had a normal chest X ray. However, during surgery and anaesthesia each child developed significant pulmonary collapse, associated with desaturation on oximetry.
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2/2. Respiratory tract infection and anaesthesia. haemophilus influenzae pneumonia that developed under anaesthesia.

    A 2-year-old boy with symptoms of a minor upper respiratory tract infection developed haemophilus influenzae pneumonia that presented as hypoxaemia under anaesthesia for minor emergency surgery. The patient required 72 hours of mechanical ventilation in an intensive care unit after the anaesthetic and thereafter made an uneventful recovery. The value of pre-operative chest radiology and the possible contributory effect of anaesthesia are discussed.
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keywords = anaesthesia
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