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Biomedical subjects

F Potter

Publications and source records attributed to F Potter.

7 recordsLinked to original sources

Anaesthetic management of a neonate with congenital cyst adenoid malformation.

We report the anaesthetic management of a male neonate with congenital cyst adenoid malformation (CCAM) of the lung who underwent thoracotomy for resection of CCAM 24 h after birth and again at 24 days. The initial operation involved a 10-day admission to a paediatric intensive care unit (PICU) requiring ventilation, and was complicated by a pneumothorax. This report concentrates on the anaesthetic management for the second thoracotomy. The combination of intra-operative remifentanil infusion and the use of ultrasound to confirm correct placement of epidural catheter allowed on-table tracheal extubation and a shorter stay in PICU. The use of one-lung ventilation (OLV) allowed for better surgical access and enabled complete resection of the lesion.

Anesthesia, Epidural↗

Discovery of left-sided superior vena cava during central venous catheterization.

We describe a 3-yr-old patient in whom a central venous catheter (CVC) was inadvertently inserted into a persistent left superior vena cava (PLSVC). This congenital anomaly was diagnosed using transthoracic echocardiography. The aetiology and the implications for the anaesthetist are discussed.

Catheterization, Central Venous↗