Monitoring the Neonate: Practical Considerations

Steward, David J.

doi:10.1007/978-1-4419-6041-2_7

Cited by 2 publications

(1 citation statement)

References 57 publications

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“…Stetoskop prekordial juga dapat digunakan untuk memantau bunyi jantung selama tindakan anestesi. 12 Pada kasus ini, kami melakukan pemasangan alatalat monitoring non-invasif, elektrokardiografi, saturasi oksigen perifer, EtCO 2 , pemantauan suhu kontinyu, serta stetoskop prekordial pada bagian anterior dan posterior dinding dada. Sebelum induksi, dilakukan pencatatan terhadap parameter basal pasien untuk menjaga parameter hemodinamik tetap dalam batas yang masih dapat ditoleransi sepanjang pembedahan.…”

Section: Meningoencephaloceleunclassified

Penatalaksanaan Anestesi Neonatus yang Menjalani Pembedahan Koreksi Giant Unruptured Occipital Meningoencephalocele

Suarjaya

Kharisma

Sutawan

2023

JNI

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Meningoencephalocele is a rare congenital abnormality where duramater and cranium failed to close completely, leaving part of intracranial tissues outside the cranium wrapped in a sac. Neonate’s airway management, pose many challenges due to immaturity of airway anatomy, limited respiratory organ reserve and extreme head-to-body ratios. Occipital meningoencephalocele will also complicate the intubation and airway control during anesthesia and surgery. A nine days old male patient with an occipital lump measuring 17x12x8 cm underwent meningoencephalocele resection. Induction of anesthesia was performed by sevoflurane inhalation, rocuronium to facilitate videolaryngoscopy and intubation in supine position, supported by doughnut-shape pads which fits the size of the cele. Videolaryngoscope was chosen because it provides optimal visualization without hyperextension and over manipulation than conventional laryngoscope, therefore intubation can be done in supine position. Anesthesia and surgery duration was 2 hours and 15 minutes. The patient was treated in the neonatal intensive care unit after surgery, extubated 24 hours later, and discharged home 10 days after surgery. The greatest challenge in anesthesia management for occipital meningoencephalocele resection is securing the airway while ensuring the sac is not ruptured during airway manipulation and positional changes during anesthesia and surgery.

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Section: Meningoencephaloceleunclassified

Penatalaksanaan Anestesi Neonatus yang Menjalani Pembedahan Koreksi Giant Unruptured Occipital Meningoencephalocele

Suarjaya

Kharisma

Sutawan

2023

JNI

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Medical Devices for Pediatric Apnea Monitoring and Therapy: Past and New Trends

Pullano

Mahbub

Bianco

et al. 2017

IEEE Rev. Biomed. Eng.

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Apnea in the pediatric population is associated with increased morbidity and mortality in a large number of developed as well as developing countries. It is even more prominent in preterm newborn infants and is commonly referred to as apnea of prematurity. Its current diagnosis and therapy involve the use of traditional technologies, which often result in discomfort to the infants due to the use of invasive devices attached to their sensitive skin, especially in overnight clinical sleep analysis (for over a 12- or 24-h period). Emerging trends for the point-of-care diagnosis of this sleep disorder are focused on the design of integrated devices for less complex and noninvasive monitoring. This paper presents a review of the state of the art of clinical technologies and methodologies for sleep apnea detection and their pros and cons, with particular focus on their working principles and relevance to pediatrics. Moreover, an in-depth discussion on emerging future technologies envisioned to be integral parts of the daily home-based applications is included in the paper.

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Monitoring the Neonate: Practical Considerations

Cited by 2 publications

References 57 publications

Penatalaksanaan Anestesi Neonatus yang Menjalani Pembedahan Koreksi Giant Unruptured Occipital Meningoencephalocele

Penatalaksanaan Anestesi Neonatus yang Menjalani Pembedahan Koreksi Giant Unruptured Occipital Meningoencephalocele

Medical Devices for Pediatric Apnea Monitoring and Therapy: Past and New Trends

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