Halothane-morphine compared with high-dose sufentanil for anesthesia and postoperative analgesia in neonatal cardiac surgery

Article Abstract:

Deep levels of anesthesia during surgery and deep sedation after may improve outcome in critically ill newborn infants by suppressing their bodies' response to the stress of surgery. Thirty infants were given deep anesthesia with high doses of sufentanil during surgery to correct congenital heart defects. They were given continuous infusions of fentanyl or sufentanil for 24 hours after surgery. Fifteen infants undergoing heart surgery were given lighter anesthesia with halothane and morphine followed by intermittent doses of morphine and diazepam for 24 hours after surgery. The infants receiving halothane anesthesia had higher levels of several hormones associated with stress. They also had an increased incidence of infection and metabolic acidosis. Four of the infants receiving halothane died while recovering from surgery, while none of the infants receiving sufentanil died.

Usage, Evaluation, Surgery, Heart, Morphine, Heart surgery, Halothane, Pediatric anesthesia

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Case 35-2006: A newborn baby with hypotonia

Article Abstract:

A medical case registered in a hospital indicates that a 2-day old boy, delivered by a 40-year old mother was diagnosed with hypotonia, though he remained in a stable condition while breathing in open air. Various diagnostic tests including the electromyography study as well as the needle electromyography study were conducted on the infant to monitor his nervous system, neuromuscular junction and other parts of his body, which then helped the doctors to start his treatment.

Health aspects, Infants (Newborn), Newborn infants, Muscle diseases, Muscular diseases

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Case 32-2006: A 3-year-old girl with fever after a visit to Africa

Article Abstract:

A case study of a 3-year-old girl, who developed fever and parasites in the peripheral blood after a visit to Africa, is presented. The patient was diagnosed with severe Plasmodium falciparum malaria, and a description of the mode of treatment administered to her is presented.

United States, Malaria

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