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Canadian Journal of Anesthesia, Vol 41, 523-526, Copyright © 1994 by Canadian Anesthesiologists' Society

ARTICLES

Anaesthetic management of an asthmatic child for appendicectomy

B Kuwahara and GV Goresky
Department of Anaesthesia, Alberta Children's Hospital, University of Calgary, Canada.

A 13-yr-old boy was scheduled for emergency appendicectomy because of abdominal pain. His preoperative medical history was complicated by a recent hospital admission for management of asthma. He had presented to hospital seven days earlier because of dyspnoea, tachypnoea and oxygen desaturation to 77% on room air. Following admission, he required intensive nonventilatory management of his asthma, including intravenous salbutamol, methylprednisolone, and aminophylline, as well as use of an ipratroprium bromide inhaler and 100% oxygen by mask. He was discharged to the ward, and continued on prednisone (delta-cortisone), beclomethasone inhaler, ipratroprium inhaler, and salbutamol inhaler. During his ICU stay, he complained of nonspecific abdominal pain, interpreted as gastro-oesophageal reflux. After four days, he was discharged to the ward. On his sixth hospital day, he began to experience right-sided lower abdominal pain and right shoulder pain. A surgeon was consulted, and the patient was found to have a very tender right lower quadrant with guarding and rebound pain. He was therefore scheduled for appendicectomy; antibiotic therapy with ampicillin, gentamicin, and metronidazole was initiated.


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Repair of incarcerated inguinal hernia in an infant with acute viral bronchiolitis: [La reparation d'une hernie inguinale incarceree chez un enfant atteint d'une bronchiolite virale aigue]
Can J Anesth, January 1, 2004; 51(1): 68 - 71.
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Copyright © 1994 by the Canadian Anesthesiologists' Society.