Assuntos
Anestesia por Condução , Anestesia Obstétrica , Cesárea , Anestesia Geral , Índice de Apgar , Emergências , Feminino , Humanos , Recém-Nascido , GravidezRESUMO
The paper deals with 10 years of experience a multispecialty team has reached in the therapy of tracheal stenoses and acquired tracheoesophageal fistulas. In 38 surgical patients the authors performed 50 reconstruction operations. The best results were reached in stenoses and tumours of trachea provided the patient had not died after the operation. In the group of 13 patients with surgery for tracheoesophageal fistula there were seven who died in the postoperation period. The problem of reoperation is discussed as well as the technique of the intervention with the use of Rehn's grafts and microsurgery occlusions of the fistulas by way of a tracheostoma. Two previously published cases are briefly described, the first being a complete resection of tracheal bifurcation, the other one being a rare mucosa form of epidermolysis bullosa, localized and surgically treated in the region of cervical oesophagus.
Assuntos
Estenose Traqueal/cirurgia , Fístula Traqueoesofágica/cirurgia , Estenose Esofágica/cirurgia , Humanos , MétodosAssuntos
Anestesia Caudal , Anestesia Epidural , Angiografia Cerebral/métodos , Adolescente , Criança , Pré-Escolar , Feminino , Humanos , Lactente , MasculinoRESUMO
Nineteen panangiographies under caudal epidural block were performed in children between 9 months and 13 years. It is stated that the sympatholytic action of caudal epidural block diminishes the risk of circulatory disturbances in the catheterised femoral artery. The performance of caudal block in children is easy and safe. The circulation in the affected limb returned to normal in one child during 3 hours, in the remaining 18 during 1 hour.