Pediatric septic arthritis with pericardial and pleural effusions for emergency drainage - Case Report
Journal Title: Indian Journal of Clinical Anaesthesia - Year 2017, Vol 4, Issue 3
Abstract
Sepsis is a major cause of morbidity and mortality in pediatric age group, mainly because of hemodynamic compromise and multi-organ dysfunction. Septic patients have impaired tissue perfusion, threatening functions of vital organs and situation becomes more challenging if the child has concomitant pericardial and pleural effusions. Anesthesiologists are involved in preoperative resuscitation with judicious use of fluids, vasopressors and inotropes and timely administration of appropriate intravenous antibiotics. Perioperative management requires careful selection of induction and maintenance anesthesia agents, optimizing intravascular volume status, avoiding any lung injury during mechanical ventilation, monitoring investigations and post-operative management of patients in post- anesthesia care unit (PACU) or intensive care unit (ICU). We report successful management of a five year old boy with sepsis with moderate pericardial and pleural effusions for emergency hip joint aspiration and drainage, to the best of our knowledge there is no previously reported case in literature.
Authors and Affiliations
Bhavna Kakkar, Nishtha Kachru, Mallika Boishya, Lalit Gupta
Keywords
Related Articles
- EP ID EP315383
- DOI 10.18231/2394-4994.2017.0082
- Views 81
- Downloads 0
Study of intravenous tramadol versus rectal tramadol for postoperative analgesia after appendectomy
Introduction: Tramadol is atypical opioid having central as well as peripheral analgesic action. It acts on opioid receptors as well as having effect on neuronal reuptake of nor epinephrine and serotonin. In this study,...
Effect of electrocautery maze procedure and amiodarone in rheumatic valvular heart disease patients with atrial fibrillation undergoing mitral valve replacement surgery
Introduction: Electrocautery maze and amiodarone will ensure a better controlled sinus rhythm throughout the immediate postoperative period and will make it smoother. Objective: To study the effect of electrocautery maze...
A comparative study of intrathecal low dose bupivacaine with fentanyl and low dose levobupivacaine with fentanyl in transurethral resection of prostate: Randomized, double blind, prospective study
Objective: Isobaric levobupivacaine has been recently introduced for intrathecal use and there are very few studies comparing it with widely used hyperbaric bupivacaine. So this randomized trial was planned to study the...
A prospective randomized control trial -Comparison of hemodynamic response to laryngoscopy and intubation – Macintosh versus McCoy blade
Introduction: As is well described laryngoscopy and intubation produce significant hemodynamic response. It is shown in previous studies that type of laryngoscope blade used affects the degree of hemodynamic response to...
Comparison of dose requirement of propofol with and without bispectral monitoring in patients undergoing spinal epidural anaesthesia: An institutional based study
Introduction Sedative protocols are a topic of current research especially for establishment of extensive monitoring systems for sedative agents Bispectral index BIS is one of the main indicators for measuring the anaest...