儿童接受梅塔脊柱铸造术的麻醉并发症:一个病例系列。

IF 0.5

A&A Practice Pub Date : 2023-05-18 eCollection Date: 2023-05-01 DOI:10.1213/XAA.0000000000001685

Rhashedah A Ekeoduru

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引用次数: 0

摘要

延长-旋转屈曲铸造，通常被称为梅塔铸造，是一种相对较新的治疗婴儿特发性脊柱侧凸的方法。外科医生已经注意到连续梅塔石膏石膏治疗后脊柱侧凸的显著、持续改善。关于梅塔石膏放置过程中麻醉并发症的文献很少。本病例系列研究了在同一所高等教育机构接受梅塔铸造的4名儿童。并发症包括气管内管阻塞、体温过低、压点损伤和长时间暴露于全身麻醉(GA)，这可能增加长期神经发育迟缓的风险。

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Anesthetic Complications in Children Undergoing Mehta Spine Casting: A Case Series.

Elongation-derotation flexion casting, commonly referred to as Mehta casting, is a relatively new treatment for infantile idiopathic scoliosis. Surgeons have noted remarkable, sustained improvement in scoliosis following treatment with serial Mehta plaster casts. There is scant literature regarding anesthetic complications during Mehta cast placement. This case series examines 4 children who underwent Mehta casting at a single tertiary institution. Complications included endotracheal tube obstruction, hypothermia, pressure point injuries, and prolonged exposure to general anesthesia (GA) that potentially increases the risk of long-term neurodevelopmental delay.

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来源期刊

A&A Practice ANESTHESIOLOGY-

自引率

0.00%

发文量

期刊介绍： A & A Case Reports, our new online journal publishing Case Reports, related Editorial Commentary, and Correspondence. Anesthesia & Analgesia 1 and Anesthesiology 2 recently announced that they were suspending publication of Case Reports. One reason is that Case Reports typically reduce the Impact Factor of a journal because they are rarely cited. Regardless of the merits of Impact Factor as a metric of journal worth, journals and their editors necessarily consider Impact Factor in strategic planning. At the same time, Case Reports are appreciated by readers for describing “real life” management of difficult or unusual cases not often encountered by practitioners. In a recent issue of Anesthesia & Analgesia, Steven Shafer1 identified many Case Reports whose publication launched productive careers dedicated to solving the puzzle posed by an unusual observation in a single patient.