Author/Authors :
Saricaoglu, Fatma Hacettepe University - Faculty of Medicine - Department of Anesthesiology and Reanimation, Turkey , Sahin, Altan Hacettepe University - Faculty of Medicine - Department of Anesthesiology and Reanimation, Turkey , Yukselen, Mehmet A. Hacettepe University - Faculty of Medicine - Department of Anesthesiology and Reanimation, Turkey , Leblebicioglu, Gursel Hacettepe University - Faculty of Medicine - Department of Anesthesiology and Reanimation, Turkey , Aypar, Uku Hacettepe University - Faculty of Medicine - Department of Anesthesiology and Reanimation, Turkey
Abstract :
Objectives: The perioperative period is a particularlydangerous time for babies with serious obstetricalbrachial plexus injuries undergoing microsurgicalreconstruction. The aim of this study was to evaluate theperioperative and early postoperative problems in thesepatients.Methods: Anesthetic management and pre andpostoperative medical records were retrospectivelyreviewed for infants who underwent microsurgical nervereconstruction (n=46) at the Hacettepe University,Ankara, Turkey from 1995 to 2003.Results: Anesthetic considerations include thepositioning, long duration of operation, fluidadministration, intra and postoperative fever, tachycardiaand respiratory complications.Conclusion: Respiratory management and fluidadministration are the most important factors inanesthesia for brachial injuries. Care must also be takenfor the long duration of the surgery, temperature, and lossof airway.
