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Spinal anaesthesia in a child with Job's syndrome, pneumatoceles and empyema
Author(s) -
TAPPER J. B.,
GIESECKE A. H.
Publication year - 1990
Publication title -
anaesthesia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.839
H-Index - 117
eISSN - 1365-2044
pISSN - 0003-2409
DOI - 10.1111/j.1365-2044.1990.tb14780.x
Subject(s) - medicine , exploratory laparotomy , contraindication , anesthesia , general anaesthesia , surgery , tracheal intubation , pneumonia , laparotomy , airway obstruction , intubation , aspiration pneumonia , airway , alternative medicine , pathology
Summary 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.