RESUMO
OBJECTIVE: To evaluate children's behaviour during induction of general anaesthesia with parental participation. METHODS: A descriptive observational study in which the behaviour of the children was assessed using a Global Mood Scoring system before and during the induction of general anaesthesia, with their parents participating at induction. RESULTS: Parental participation in anaesthetic induction was beneficial in avoiding distress at parental separation without the use of preoperative sedation. Negative effects of parental participation were not encountered. CONCLUSIONS: Parental participation in anaesthetic induction of children can reduce distress at parental separation without any negative consequences. With proper preparation and education, parents should be encouraged to be present during the induction of general anaesthesia.
Assuntos
Anestesia Geral/psicologia , Comportamento Infantil , Pais , Análise de Variância , Criança , Pré-Escolar , Humanos , Lactente , Educação de Pacientes como AssuntoRESUMO
The results of corrective surgery in 32 patients with transposition of the great arteries (TGA) are reviewed. Patients with TGA and associated defects comprised 47% of the series. The over-all long-term mortality rate was 31%. An acceptable mortality rate of 17,5% was achieved in simple TGA by using a Mustard repair. Good results were obtained with the Rastelli operation for patients with TGA, ventricular septal defect and severe pulmonary stenosis. Results were poor in patients with TGA and unrestricted ventricular septal defects, in whom palliative pulmonary artery banding or corrective surgery under 6 months of age is advocated. The major late complication was patch contraction resulting in pulmonary or systemic venous obstruction.
Assuntos
Transposição dos Grandes Vasos/cirurgia , Coartação Aórtica/complicações , Criança , Pré-Escolar , Permeabilidade do Canal Arterial/complicações , Permeabilidade do Canal Arterial/cirurgia , Feminino , Parada Cardíaca Induzida , Comunicação Interventricular/complicações , Comunicação Interventricular/cirurgia , Humanos , Hipotermia Induzida , Lactente , Masculino , Complicações Pós-Operatórias , Artéria Pulmonar/cirurgia , Estenose da Valva Pulmonar/complicações , Estenose da Valva Pulmonar/cirurgia , Transposição dos Grandes Vasos/complicações , Transposição dos Grandes Vasos/mortalidadeRESUMO
Intermittent positive-pressure ventilation and muscle relaxants were first used in Cape Town in 1958 in an attempt to reduce the mortality from tetanus neonatorum, which was then over 90%. Problems of effective ventilation, of tracheostomy, and of infection in the neonate were gradually overcome so that between 1967 and 1972 the mortality in 186 cases was 21%. In a consecutive series of 97 cases the mortality was 10%.
