title: Spinal anaesthesia in a child with Job's syndrome, pneumatoceles and empyema.
abstract: We present a case of acute bowel obstruction in an immunocompromised child, who also had lobar pneumonia and a giant unilateral pneumatocele. She was successfully managed with subarachnoid anaesthesia for exploratory laparotomy to relieve a colonic obstruction. This proved to be a safe alternative to general anaesthesia with tracheal intubation in this patient and should be considered in infants and children in selected cases whenever a contraindication to general anaesthesia exists.
authors.affiliation: University of Texas Southwestern Medical School, Dallas 75235-9068.
authors.forename: J B
authors.initials: JB
authors.lastname: Tapper
authors.forename: A H
authors.initials: AH
authors.lastname: Giesecke
mesh_terms: D000775:Anesthesia, Spinal; D005260:Female; D006801:Humans; D007223:Infant; D007415:Intestinal Obstruction / Q000150:complications / Q000601:surgery*; D007589:Job Syndrome / Q000150:complications*; D010585:Phagocyte Bactericidal Dysfunction / Q000150:complications*; D010996:Pleural Effusion / Q000150:complications; D011018:Pneumonia, Pneumococcal / Q000150:complications*; D011030:Pneumothorax / Q000150:complications