Halothane-morphine compared with high-dose sufentanil for anesthesia and postoperative analgesia in neonatal cardiac surgery
Article Abstract:
Deep levels of anesthesia during surgery and deep sedation after may improve outcome in critically ill newborn infants by suppressing their bodies' response to the stress of surgery. Thirty infants were given deep anesthesia with high doses of sufentanil during surgery to correct congenital heart defects. They were given continuous infusions of fentanyl or sufentanil for 24 hours after surgery. Fifteen infants undergoing heart surgery were given lighter anesthesia with halothane and morphine followed by intermittent doses of morphine and diazepam for 24 hours after surgery. The infants receiving halothane anesthesia had higher levels of several hormones associated with stress. They also had an increased incidence of infection and metabolic acidosis. Four of the infants receiving halothane died while recovering from surgery, while none of the infants receiving sufentanil died.
Publication Name: The New England Journal of Medicine
Subject: Health
ISSN: 0028-4793
Year: 1992
User Contributions:
Comment about this article or add new information about this topic:
Case 35-2006: A newborn baby with hypotonia
Article Abstract:
A medical case registered in a hospital indicates that a 2-day old boy, delivered by a 40-year old mother was diagnosed with hypotonia, though he remained in a stable condition while breathing in open air. Various diagnostic tests including the electromyography study as well as the needle electromyography study were conducted on the infant to monitor his nervous system, neuromuscular junction and other parts of his body, which then helped the doctors to start his treatment.
Publication Name: The New England Journal of Medicine
Subject: Health
ISSN: 0028-4793
Year: 2006
User Contributions:
Comment about this article or add new information about this topic:
Case 32-2006: A 3-year-old girl with fever after a visit to Africa
Article Abstract:
A case study of a 3-year-old girl, who developed fever and parasites in the peripheral blood after a visit to Africa, is presented. The patient was diagnosed with severe Plasmodium falciparum malaria, and a description of the mode of treatment administered to her is presented.
Publication Name: The New England Journal of Medicine
Subject: Health
ISSN: 0028-4793
Year: 2006
User Contributions:
Comment about this article or add new information about this topic:
- Abstracts: Association of intravenous lipid emulsion and coagulase-negative staphylococcal bacteremia in neonatal intensive care units
- Abstracts: Association of intravenous lipid emulsion and coagulase-negative staphylococcal bacteremia in neonatal intensive care units. part 2
- Abstracts: Hormone replacement therapy and the risk for first hip fracture: a prospective, population-based cohort study
- Abstracts: Personality disorder in perspective. Personality disorder and psychiatric illness in general practice. Efficacy of combined antidepressant therapy in resistant neurotic disorder
- Abstracts: A 35-year-old man with changed mental status and multiple intracerebral lesions. A 60-year-old man with multiple cerebral infarcts and cutaneous hemorrhagic lesions