Peut-on utiliser les veines superficielles de l'abdomen pour induire une anesthésie chez l'enfant ?

Maman, A. F. Ouro-Bang'na; Akakpo-Numado, Gamedzi Komlatsè; Gnassingbe, K; Tomta, K; Tékou, H

doi:10.1016/j.annfar.2006.04.008

Cited by 2 publications

(2 citation statements)

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“…The line allowed for delivery of medications and no complications were observed [ 1 ]. Using a superficial abdomen wall veins for induction of anesthesia has been proposed as an option in children [ 2 ].…”

Section: Discussionmentioning

confidence: 99%

Use of a Superficial Abdominal Wall Vein in a Gravida Patient for Emergency Vascular Access

Naftalovich

Chaudhry

et al. 2023

Case Reports in Anesthesiology

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Obtaining vascular access through a superficial vein of the abdominal wall of a gravida patient is an option in an emergency Cesarean surgery when other means fail. Such superficial veins may be mistaken for striae gravidarum on physical exam. A small intravenous (IV) cannula is not ideal but could save valuable time and avoid delaying induction of general anesthesia. Once the airway is secured, a larger bore IV can then be inserted while surgical exposure is undergoing. Analysis of the risks and benefits of inducing general anesthesia with a small gauge IV for a gravida patient should take into consideration risk factors for massive peripartum hemorrhage such as placental disorders (accreta, increta, precreta, abruption, or previa), presence of uterine fibroids, preeclampsia, hemolysis, elevated liver enzymes, low platelet count (HELP syndrome), severe polyhydramnios, history of grand multiparty, and bleeding disorders such as Von Willibrands and hemophilia.

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Section: Discussionmentioning

confidence: 99%

Use of a Superficial Abdominal Wall Vein in a Gravida Patient for Emergency Vascular Access

Naftalovich

Chaudhry

et al. 2023

Case Reports in Anesthesiology

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show abstract

“…Most general anesthetics are conducted using induction and maintenance with halothane and a Mapleson F circuit, with the patients breathing spontaneously with some manual assistance. Halothane induction has the benefit of inducing venous dilatation, which facilitates intravenous access, including use of the superficial veins of the abdomen in neonates (Figure 1) (24). However, many patients have significant third space losses prior to surgery, and for them, deep halothane anesthesia presents a particular risk.…”

Section: Anesthetic Techniquementioning

confidence: 99%

Anesthesia for children in Sub‐Saharan Africa – a description of settings, common presenting conditions, techniques and outcomes

Maman

Kaboré

Zoumenou

et al. 2008

Pediatric Anesthesia

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Anesthesia in developing countries deserves special attention. The most common technique is general anesthesia (with spontaneous or manually assisted ventilation). Nonmedical anesthetists with limited training and supervision and lacking the most common drugs and anesthetic equipment administer anesthesia, usually for emergency surgery. There are important safety issues, especially for pediatric anesthesia. Regarding pediatric surgery, the major workload is due to abdominal emergencies, mainly neonatal bowel obstruction or peritonitis due to typhoid perforation. The morbidity and mortality rate for these conditions is high.

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Peut-on utiliser les veines superficielles de l'abdomen pour induire une anesthésie chez l'enfant ?

Cited by 2 publications

References 0 publications

Use of a Superficial Abdominal Wall Vein in a Gravida Patient for Emergency Vascular Access

Use of a Superficial Abdominal Wall Vein in a Gravida Patient for Emergency Vascular Access

Anesthesia for children in Sub‐Saharan Africa – a description of settings, common presenting conditions, techniques and outcomes

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