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Canadian Journal of Anesthesia, Vol 3, 102-106, Copyright © 1956 by Canadian Anesthesiologists' Society

Anaesthesia for Repair of Cleft Lip and Palate in Infants Using Moderate Hypothermia

CHRISTOPHER J. KILDUFF M.B., B.CH., B.A.O.1, GORDON M. WYANT F.F.A.R.C.S., D.A.(AM. BD.), D.A.(ENG.), F.A.C.A.1, and ROBERT H. DALE F.R.C.S.(EDIN.), F.A.C.S.2

1 Department of Anaesthesia, University of Saskatchewan College of Medicine, and University Hospital, Saskatoon
2 Department of Surgery (Plastic Service), University of Saskatchewan College of Medicine, and University Hospital, Saskatoon

Moderate hypothermia to 93°F produced by means of surface cooling has been used with success in cleft lip and palate operations in infan s, the risk of hyperpyrexia in these cases being thereby removed. The bleecing in the operative field is reduced to a degree which greatly facilitates surgery and reduces over-all operating time. Anaesthesia is maintained through an endotracheal tube by means of the Ayie's T-piece. Very little general anaesthesia is required, once body temperature has been lowered. This technique allows for minimum interference in'the feeding schedule, as anaesthesia is induced 3 hours after the last feeding and the total anaesthesia time is not allowed to last much over 1 hour. Children are immediately awake on rewarming and are able to talk and retain their feeding.

Note:

Presented before the Western Division, Canadian Anaesthetists' Society, April 5–7, 1956.






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Copyright © 1956 by the Canadian Anesthesiologists' Society.