ABSTRACT
Le tetanos est une affection hautement mortelle et son traitement d'un cout tres eleve. Le taux de mortalite dans notre milieu ces 5 dernieres annees est de 66. Chez les tetaniques; la mort subite est principalement due aux troubles de rythme cardiaque liees a l'hyperactivite adrenergique et a un moindre degre au laryngospasme. Pour traiter et prevenir la survenue des troubles de rythme cardiaque chez une fille de 15 ans; les auteurs rapportent cette observation ou une anesthesie peridurale; par catheter laisse une semaine en place; a permis de passer la periode critique sans complications cardiaques graves
Subject(s)
TetanusSubject(s)
Brain/diagnostic imaging , Hypnotics and Sedatives/administration & dosage , Tomography, X-Ray Computed , Child, Preschool , Contrast Media , Diazepam/administration & dosage , Drug Therapy, Combination , Humans , Infant , Injections, Intravenous , Pentobarbital/administration & dosage , Suppositories , Trimeprazine/administration & dosageABSTRACT
Congenital bilateral atresia of the choana is a rare anomaly. It is a closure of the posterior nares by a membranous and/or osseous partition. It causes early respiratory distress in the neonate. The history and presenting symptoms seldom cannot simulate those of severe respiratory distress in the newborn. The anaesthesist can easily make the diagnosis when he observes a "cyclic pattern of respiratory distress": chest retraction and cyanosis which disappear with crying. The purpose of this present case is to emphasize both anaesthetic and surgical approaches to the management of this type of lesion.
