scholarly journals Spinal Anaesthetic Management in Paediatric Surgery

10.5772/67409 ◽  
2017 ◽  
Author(s):  
Esra Caliskan
Keyword(s):  
Anaesthetic Management ◽  
Paediatric Surgery ◽  
Spinal Anaesthetic

scholarly journals Perioperative anaesthetic management of a child with cushing’s syndrome for bilateral adrenalectomy

2014 ◽  
Vol 22 (2) ◽  
pp. 84-87
Author(s):  
Sabina Yeasmeen ◽  
Debasish Banik ◽  
Quamrul Huda ◽  
Sayeed Mahmud Ali Reza ◽  
Abdul Hye ◽  
...  
Keyword(s):  
Adrenal Adenoma ◽  
Serum Cortisol ◽  
Anaesthetic Management ◽  
Control Mode ◽  
Electrolyte Imbalance ◽  
Paediatric Surgery ◽  
Benign Adenoma ◽  
Acth Secreting ◽  
Medical University ◽  
Adrenocortical Tumour

Nearly twenty five percent of the cases of cushing’s syndrome are due to adrenal hyperplasia without an ACTH secreting tumour. Twenty percent of patients with endogenous cushing have adrenocortical tumour about half of which are benign adenoma. Surgical intervention done due to failed medi cal therapy and in case of adrenal adenoma. A child aged 4½ years, weighting 29kg with features suggestive of cushing’s syndrome was admitted under paediatric surgery unit in Bangabandhu Sheikh Mujib Medical University. On investigation serum cortisol levels were raised. blood pressure was controlled by ACE inhibitor, calcium channel blocker and beta-blocker. He was scheduled for resection of adrenal cortical tumour. Electrolyte imbalance was corrected, steroid replacement was done. Patient was haemodynamically stable preoperatively.Surgery was completed unevenetfuly. Postoperatively patient was kept in ICU, ventilation maintained by control mode (CMV). After 24 hours the patient was extubated. When the patient found haemodynamically stable he was sent to the recovery room. DOI: http://dx.doi.org/10.3329/jbsa.v22i2.18148 Journal of BSA, 2009; 22(2): 84-87

Absorbable suture material in carotid surgery

VASA ◽  
2015 ◽  
Vol 44 (6) ◽  
pp. 451-457 ◽  
Author(s):  
Vincenzo Gasbarro ◽  
Luca Traina ◽  
Francesco Mascoli ◽  
Vincenzo Coscia ◽  
Gianluca Buffone ◽  
...  
Keyword(s):  
Suture Material ◽  
Absorbable Suture ◽  
Paediatric Surgery ◽  
Carotid Surgery ◽  
Suture Materials ◽  
Absorbable Suture Material ◽  
Absorbable Sutures ◽  
Group A ◽  
Group B

Abstract. Background: Absorbable sutures are not generally accepted by most vascular surgeons for the fear of breakage of the suture line and the risk of aneurysmal formation, except in cases of paediatric surgery or in case of infections. Aim of this study is to provide evidence of safety and efficacy of the use of absorbable suture materials in carotid surgery. Patients and methods: In an 11 year period, 1126 patients (659 male [58.5 %], 467 female [41.5 %], median age 72) underwent carotid endarterectomy for carotid stenosis by either conventional with primary closure (cCEA) or eversion (eCEA) techniques. Patients were randomised into two groups according to the type of suture material used. In Group A, absorbable suture material (polyglycolic acid) was used and in Group B non-absorbable suture material (polypropylene) was used. Primary end-point was to compare severe restenosis and aneurysmal formation rates between the two groups of patients. For statistical analysis only cases with a minimum period of follow-up of 12 months were considered. Results: A total of 868 surgical procedures were considered for data analysis. Median follow-up was 6 years (range 1-10 years). The rate of postoperative complications was better for group A for both cCEA and eCEA procedures: 3.5 % and 2.0 % for group A, respectively, and 11.8 % and 12.9 % for group B, respectively. Conclusions: In carotid surgery, the use of absorbable suture material seems to be safe and effective and with a general lower complications rate compared to the use of non-absorbable materials.

Laparoscopic Surgery for Pheochromocytoma and Paraganglioma Removal: A Retrospective Analysis of Anaesthetic Management

2017 ◽  
Vol 12 (3) ◽  
pp. 222-227 ◽  
Author(s):  
Rashmi Ramachandran ◽  
Vimi Rewari ◽  
Ankur Sharma ◽  
Rajeev Kumar ◽  
Anjan Trikha
Keyword(s):  
Laparoscopic Surgery ◽  
Retrospective Analysis ◽  
Anaesthetic Management
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