Chylothorax Following Central Venous Catheterization in a Patient with Tetra-Amelia

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Anesthetic management of a patient with tetra-amelia.

The case presented is that of a parturient with tetra-amelia, the congenital absence or near absence of all limbs. The difficulties encountered with monitoring and venous access due to absence of extremities illustrate the necessity for a detailed management plan with emphasis on early intervention. The reasons for the high incidence of operative delivery are outlined.

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Tetra-Amelia Syndrome

A newborn was noticed lying unattended in the hospital campus. It had complete absence of all four limbs, deformed ears, facial cleft, proptosis, hydrocephalus, corneal opacity, absent nipples, anterior abdominal wall defect with exstrophy bladder, absent external genitalia, and sacral spina bifida (Fig.1 A & B). The child died after few hours due to aspiration pneumonitis. These features are p...

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Survey of a Practical Approach to Central Venous Catheterization in Pediatric Patients

Background Central venous catheter (CVC) is used for measuring hemodynamic variables, transfusion of blood, fluids and medications when peripheral vascular lack sufficiency. Unfortunately CVC is associated with many complications ranging from anxiety and discomfort for the patient to severe mechanical side effects such as arterial lacerations, pleural and pericardial injury as well as infection...

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A review in emergency central venous catheterization

Central venous catheterization is widely used in the emergency setting. This review aims to assess central venous catheterization from the perspectives of types of catheters, sites of insertion, and techniques. In emergency conditions, non-tunneled catheters are preferred because the technique for its insertion is not complicated and less time-consuming. The size of catheter depends on the purp...

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Hydrothorax after central venous catheterization.

Three patients are described who developed hydrothorax as a complication of central venous catheterization. Respiratory distress associated with physical signs of fluid in the chest should arouse suspicion that the venous catheter has perforated the wall of the vein.The complications of central venous catheterization are reviewed and three cases of hydrothorax are presented. Comments on the pre...

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ژورنال

عنوان ژورنال: Turkish Journal of Pediatric Disease

سال: 2013

ISSN: 1307-4490

DOI: 10.12956/tjpd.2013.16