Anesthetic Management of Extremely Low Birth Weight Neonate with IRDS Undergoing Ligation of Patent Ductus Arteriosus.
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Accession number;03A0190478
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| Title;Anesthetic Management of Extremely Low Birth Weight Neonate with IRDS Undergoing Ligation of Patent Ductus Arteriosus. |
| Author;
SAKURABA SHIGEKI
(Sch. of Med., Keio Univ.)
OCHIAI RYOICHI
(Sch. of Med., Keio Univ.)
HATORI EIKI
(Sch. of Med., Keio Univ.)
TAKAGI AIRINNAOMI
(Sch. of Med., Keio Univ.)
ISHIBASHI MICHIKO
(Sch. of Med., Keio Univ.)
TAKEDA JUNZO
(Sch. of Med., Keio Univ.)
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Journal Title;Journal of Clinical Anesthesia
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Journal Code:Z0633B
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ISSN:0387-3668
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VOL.27;NO.2;PAGE.233-234(2003)
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| Figure&Table&Reference;REF.9 |
| Pub. Country;Japan |
| Language;Japanese |
| Abstract;The patient of this case was a baby of ultra-low body weight as 783 g who was delivered after pregnant period of 25 weeks and one day. Immediately after birth, hypoxia and respiratory distress were marked and the baby was diagnosed as infantile respiratory distress syndrome and put under artificial respiratory control after tracheal intubation. On the day 5 after birth, a diagnosis of patent ductus arteriosus was made and indometacin was administered, but the baby developed pulmonary hemorrhage on the day 28, leading to arteriocanal ligation. Anesthesia was induced with midazolam, vecuronium and fentanyl and kept with vecuronium and fentanyl. Choice of operation place, anesthetic method and managements of respiration/circulation as well as body temperature control were thought important for infantile anesthesia. |
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