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108 result(s) for "James Mayhew"
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Ella Bella ballerina and Cinderella
When Ella Bella loses one of her ballet slippers, Madame Rosa loans her another pair and then relates the story of Cinderella and the lost shoe. As soon as a tune from a mysterious music box begins to play, Ella Bella finds herself dancing into the world of the Cinderella ballet. But can Ella Bella help Cinderella attend the royal ball?
Anesthesia for a child with Golz syndrome
Anesthesia for a child with Golz syndrome
Golz syndrome [1] is a rare, X-linked genetic disorder that has been implicated in mutations on the PORCN gene locus Xp-11.2.3. The IV catheter and endotracheal tube were secured with paper tape, and the blood pressure cuff, pulse oximeter, and electrocardiography leads were placed on normal appearing skin.
Mrs Noah's pockets
\"At last all were gathered inside the ark. It heaved with animals, large and small. Mrs Noah wore a brand-new coat, with a hood and a cape - and very deep pockets. Lots of pockets.\" When Mr Noah builds the ark, he makes two lists - one for all the animals who will come on board and one for those troublesome creatures he will leave behind. Meanwhile, Mrs Noah gets out her sewing machine and makes a coat with very deep pockets. Lots of pockets.
Does the covering of children during induction of anesthesia have an effect on body temperature at the end of surgery?
Does the covering of children during induction of anesthesia have an effect on body temperature at the end of surgery?
Abstract Study Objectives To determine whether the covering of healthy children during anesthetic induction reduces hypothermia at the end of minor surgeries. Design Randomized, single-blinded, prospective study. Setting Operating room and postoperative recovery area of a university-affiliated hospital. Patients 50 ASA physical status 1 patients, aged 6 months to 3.5 years, scheduled for simple urological surgeries. Interventions Subjects were randomly assigned to one of two groups: covered or uncovered. Children in the covered group (Group C) were actively warmed on arrival in the operating room (OR) using cotton blankets and a warm forced-air blanket set at 43°C. Children in the uncovered group (Group U) remained uncovered during the induction of general anesthesia. Children in both groups were actively warmed following placement of surgical drapes. Measurements Temperature (in Celsius) during the study procedure was recorded for each patient. Main Results Mean core body temperature at the end of induction did not differ in the two groups, 36.4°C in Group C and 36.6°C in Group U. Mean core body temperature at the end of surgery did not differ between the two groups: 36.9°C in Group C and 37.0°C in Group U. Conclusion Leaving healthy children uncovered during induction of general anesthesia does not have a clinically significant effect on core temperature at the end of induction or of surgery.
Hyperkalemic cardiac arrest following succinylcholine administration: The use of extracorporeal membrane oxygenation in an emergency situation
Hyperkalemic cardiac arrest following succinylcholine administration: The use of extracorporeal membrane oxygenation in an emergency situation
We report an 11-year-old male with undiagnosed myopathy, who developed cardiac arrest secondary to severe rhabdomyolysis and hyperkalemia following succinylcholine administration. The patient required extracorporeal membrane oxygenation support from which he was eventually weaned successfully. He died eleven days after the cardiac arrest as a result of apparent ischemic brain injury.
Commentary on “Do race, gender, and source of payment impact on anesthetic technique for inguinal hernia repair?”
Commentary on “Do race, gender, and source of payment impact on anesthetic technique for inguinal hernia repair?”
A very important factor in determining an anesthetic plan involves the patient's comorbidities, also including the difficult airway and/or the difficulty performing a regional technique.
Transpleural subclavian central venous catheter placement in a child with scoliosis discovered during a thoracotomy
Transpleural subclavian central venous catheter placement in a child with scoliosis discovered during a thoracotomy
Placement of central venous catheters in dysmorphic children can be difficult because of distortion of normal anatomical landmarks. We present such a case of a 16 year-old child who had a central venous catheter inserted in the left subclavian vein. Although a conventional roentgenogram was consistent with correct placement, the catheter was found to traverse the pleural space before entering the subclavian vein.
Anesthesia in a child with pyruvate dehydrogenase deficiency: a case report
Anesthesia in a child with pyruvate dehydrogenase deficiency: a case report
We report a case in a pediatric patient with pyruvate dehydrogenase deficiency who presented for a left foot tendon transfer with an Achilles tendon lengthening secondary to left ankle equinus. The pathophysiology of pyruvate dehydrogenase deficiency is discussed as well as anesthetic management in patients with pyruvate dehydrogenase deficiency.