Brachial plexus birth injuries: anaesthesia for surgical nerve reconstruction and preoperative myelography and computed tomographic myelography.
Surgical nerve reconstruction for brachial plexus birth injuries and preoperative myelography and computed tomographic (CT) myelography require special anaesthetic considerations. Anaesthesia and medical records were retrospectively reviewed for the infants who underwent myelography, CT myelography (n=37) and microsurgical nerve reconstruction (n=34) at our institution from January 1993 to August 1996. Anaesthetic considerations include long duration of operation, perioperative respiratory complications and plaster application which makes reintubation difficult. Myelography for diagnosis requires a specific positioning of the patient with the head fixed in a midline and prone position.
Hazama
A
A
Department of Anaesthesiology, Osaka Medical Center and Research Institute for Maternal and Child Health, Izumi, Japan.
Kinouchi
K
K
Kitamura
S
S
Fukumitsu
K
K
D000769:Anesthesia, Inhalation; D018685:Anesthetics, Inhalation; D001720:Birth Injuries / Q000000981:diagnostic imaging / Q000601:surgery*; D001917:Brachial Plexus / Q000000981:diagnostic imaging / Q000293:injuries* / Q000601:surgery*; D005260:Female; D006801:Humans; D007223:Infant; D008297:Male; D008738:Methyl Ethers; D009192:Myelography; D009609:Nitrous Oxide; D019651:Plastic Surgery Procedures; D000077149:Sevoflurane; D014057:Tomography, X-Ray Computed
D018685:Anesthetics, Inhalation; D008738:Methyl Ethers; D000077149:Sevoflurane; D009609:Nitrous Oxide