RESUMO
Nasal ala pressure sores are among complications of nasogastric tube in Pediatric Intensive Care Unit [PICU]. The severity of the injury is usually minor and easily ignored. However, the complication could be easily avoided. This is a case of nasal ala sore after the placement of nasal enteral tube in a pediatric intensive care unit in our center. A 5-month-old female with pulmonary hypertension secondary to bronchiectasis with nasal ala pressure sore were reported. She was hospitalized in pediatric intensive care unit at Tabriz Children Hospital in 2010.After 53 days of PICU hospitaliza-tion she had nasal ala sore. Conclusion: We know that nasal ala pressure sores could easily be avoided when preventive procedures were performed during nasogastric tube insertion
RESUMO
Airway management during induction of anesthesia is difficult in some metabolic disorders like mucopolysaccharidosis [MPS]. In this article we report an 11 years old child with Hurler-Scheie syndrome how was admitted to operating room for thracheostomy under general anesthesia. Mask ventilation was difficult and endotracheal intubation was impossible and anesthesiologist ventilated the patient's lung by inserting laryngeal mask airway. The purpose of this article is to increase awareness among anesthetists and surgeons about the anatomical and pathophysiological changes in these syndrome which may lead to severe airway problems and complications in perioperative period
RESUMO
Foreign body ingestion is a common complaint in the pediatric emergency departments. Esophageal foreign body is a potentially serious cause of morbidity and mortality in children. Here we report an interesting case of disk battery ingestion resulting tracheo-esophageal fistula [TEF]. The surgery for repair of TEF was done one month after ingestion. A brief review of the diagnosis and management of esophageal foreign bodies is presented with particular focus on ingested disk batteries