Premium
Brachial plexus birth injuries: anaesthesia for surgical nerve reconstruction and preoperative myelography and computed tomographic myelography
Author(s) -
Hazama Ayako,
Kinouchi Keiko,
Kitamura Seiji,
Fukumitsu Kazuo
Publication year - 1999
Publication title -
pediatric anesthesia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.704
H-Index - 82
eISSN - 1460-9592
pISSN - 1155-5645
DOI - 10.1046/j.1460-9592.1999.00388.x
Subject(s) - medicine , myelography , brachial plexus , anesthesia , perioperative , surgery , computed tomographic , medical record , radiology , computed tomography , spinal cord , psychiatry
Summary 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.