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massive hemorrhage in pediatrics anesthesia

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https://www.readbyqxmd.com/read/23668299/use-of-the-bonfils-intubating-fibrescope-in-a-baby-with-a-severely-compromised-airway
#1
Priya L Krishnan, Bernd H Thiessen
We report the successful use of a 2-mm rigid Bonfils intubation endoscope as a rescue device in a 5-week-old baby presenting with an unstable airway due to massive macroglossia and multiple hemorrhagic lymphangiomata compressing the airway and resulting in a Cormack and Lehane grade 4 view. The limited intraoral space rendered it impossible to visualize the laryngeal inlet or insert a laryngeal mask, Glidescope or Airtraq blade into the patient's mouth. A 2-mm Bonfils fibrescope passed easily into the patient's mouth and facilitated a grade 1 view of the laryngeal inlet with subsequent successful intubation at first attempt with a 3...
July 2013: Paediatric Anaesthesia
https://www.readbyqxmd.com/read/22652310/review-of-the-off-label-use-of-recombinant-activated-factor-vii-in-pediatric-cardiac-surgery-patients
#2
REVIEW
Nina A Guzzetta, Isobel A Russell, Glyn D Williams
In recent years the off-label use of recombinant activated factor VII (rFVIIa) has markedly increased, particularly in pediatric cardiac surgery patients, and practitioners differ widely in their usage of the drug. In 2009, the Congenital Cardiac Anesthesia Society (CCAS) assembled a task force to review the literature on rFVIIa administration to pediatric cardiac surgery patients. The goal of the CCAS Task Force was to assess current practices and make recommendations about rFVIIa therapy to enhance quality of care, improve patient outcomes, reduce costs, and develop future research...
August 2012: Anesthesia and Analgesia
https://www.readbyqxmd.com/read/20692486/anesthetic-risk-factors-associated-with-early-mortality-in-pediatric-liver-transplantation
#3
P D Castañeda-Martínez, R I Alcaide-Ortega, V E Fuentes-García, J A Hernández-Plata, J Nieto-Zermeño, A Reyes-López, G Varela-Fascinetto
INTRODUCTION: Early mortality in pediatric patients after liver transplantation (30 days) may be due to surgical and anesthetic perioperative factors. OBJECTIVE: To identify anesthetic risk factors associated with early mortality in pediatric patients who undergo liver transplantation (OLT). MATERIALS AND METHODS: This retrospective study of all patients who underwent a deceased or living donor liver transplantation evaluated demographic variables of age, weight, gender, degree of malnutrition, and etiology, as well as qualitative variables of anesthesia time, bleeding, massive transfusion, acid-base balance, electrolyte and metabolic disorders, as well as graft prereperfusion postreperfusion characteristics...
July 2010: Transplantation Proceedings
https://www.readbyqxmd.com/read/18349174/cardiac-arrests-associated-with-hyperkalemia-during-red-blood-cell-transfusion-a-case-series
#4
Hugh M Smith, Stacy J Farrow, Joel D Ackerman, James R Stubbs, Juraj Sprung
BACKGROUND: Transfusion-associated hyperkalemic cardiac arrest is a serious complication of rapid red blood cell (RBC) administration. We examined the clinical scenarios and outcomes of patients who developed hyperkalemia and cardiac arrest during rapid RBC transfusion. METHODS: We retrospectively reviewed the Mayo Clinic Anesthesia Database between November 1, 1988, and December 31, 2006, for all patients who developed intraoperative transfusion-associated hyperkalemic cardiac arrest...
April 2008: Anesthesia and Analgesia
https://www.readbyqxmd.com/read/18062085/use-of-recombinant-activated-factor-vii-in-intractable-bleeding-during-pediatric-neurosurgical-procedures
#5
Lynn Uhrig, Stéphane Blanot, Thomas Baugnon, Gilles Orliaguet, Pierre A Carli, Philippe G Meyer
OBJECTIVE: To report the use of recombinant activated factor VII (NovoSeven; Novo Nordisk A/S, Bagsvaerd, Denmark) in children undergoing major neurosurgical procedures and experiencing massive uncontrolled hemorrhagic shock. DESIGN: Retrospective review of patients and analysis of clinical and biological effects of an intravenous administration of recombinant activated factor VII. SETTING: Neurosurgical anesthesia and critical care unit of a pediatric university hospital...
November 2007: Pediatric Critical Care Medicine
https://www.readbyqxmd.com/read/17693904/use-of-recombinant-activated-factor-vii-in-intractable-bleeding-during-pediatric-neurosurgical-procedures
#6
Lynn Uhrig, Stéphane Blanot, Thomas Baugnon, Gilles Orliaguet, Pierre A Carli, Philippe G Meyer
OBJECTIVE:: To report the use of recombinant activated factor VII (NovoSeven; Novo Nordisk A/S, Bagsvaerd, Denmark) in children undergoing major neurosurgical procedures and experiencing massive uncontrolled hemorrhagic shock. DESIGN:: Retrospective review of patients and analysis of clinical and biological effects of an intravenous administration of recombinant activated factor VII. SETTING:: Neurosurgical anesthesia and critical care unit of a pediatric university hospital. PATIENTS/SUBJECTS:: Four children, <12-kg body weight, experiencing life-threatening perioperative hemorrhage required conventional treatment (massive red blood cells, fresh frozen plasma, platelet transfusion, and surgical hemostatic maneuvers) that failed to obtain definite hemostasis...
November 2007: Pediatric Critical Care Medicine
https://www.readbyqxmd.com/read/11335006/hemorrhage-following-pediatric-tonsillectomy-before-puberty
#7
J P Windfuhr, Y S Chen
OBJECTIVE: Control of postoperative bleeding, considered as the major complication following tonsillectomy, serves as a landmark for the safety of the operation. There is a constant decrease of the concentration of hemoglobin during childhood with lowest values around 6 years of age with normal values at the beginning of puberty accompanied by a constant decrease of the number of platelets after birth. Dehydration, poor oral intake and airway problems are predominant complications in early childhood...
May 11, 2001: International Journal of Pediatric Otorhinolaryngology
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