Résumé
This report details the management of a newborn with nesidioblastosis who underwent a 95% pancreatectomy under general anaesthesia. The baby presented with hypoglycemic convulsions, due to hyperinsulinism, and was treated with 12.5% dextrose infusions, glucagon and anticonvulsants. Intraoperatively and postoperatively the baby remained hyperglycemic. A postoperative osmotic diuresis necessitated the use of insulin for brief period. The infant remained euglycemic and convulsion free, following discontinuation of the dextrose infusions and starting of oral feeds. Recovery was uneventful.
Sujets)
Anesthésie générale/méthodes , Humains , Hyperinsulinisme/étiologie , Hypoglycémie/classification , Nouveau-né , Pancréatectomie , Maladies du pancréas/complications , Crises épileptiques/traitement médicamenteuxRésumé
Congenital lobar emphysema (CLE) and lung cyst--congenital cystic adenomatoid malformation (CCAM) are rare conditions in the neonatal period. Lobectomy is the only treatment for these conditions. We had 4 neonates, seen over a period of two years, who had congenital lobar emphysema and one neonate who had lung cyst. All babies had undergone lobectomy. Their anaesthetic management is discussed here.
Sujets)
Anesthésie par inhalation/méthodes , Malformation congénitale kystique adénomatoïde du poumon/épidémiologie , Femelle , Études de suivi , Humains , Nouveau-né , Mâle , Pneumonectomie/méthodes , Pronostic , Emphysème pulmonaire/congénital , Résultat thérapeutiqueRésumé
Male conjoined twins (thoraco-omphalopagous) were delivered by emergency Caesarean section performed in a full term, 3rd gravida who had presented in labour. On examination one of the twins had gross monstrosity and was threatening the survival of the better twin (twin A). The cannulation and dye studies through single umbilical vein demonstrated significant cross circulation across the connecting bridge. The vein was connected to liver of twin A. An emergency separation was performed to salvage the better twin.