23.06.2014 Views

Neonatale anesthesie

Neonatale anesthesie

Neonatale anesthesie

SHOW MORE
SHOW LESS

Create successful ePaper yourself

Turn your PDF publications into a flip-book with our unique Google optimized e-Paper software.

Enkele referenties.<br />

• WelbornLG, RiceLJ, HannallahRS, et al. Postoperative apnea in former preterm infants:<br />

prospective comparison of spinal and general anesthesia. Anesthesiology 1990;72:838–<br />

42.<br />

• S. Suresh and S. C. Hall<br />

Spinal Anesthesia in Infants: Is the Impractical Practical?<br />

Anesth. Analg., January 1, 2006; 102(1): 65 - 66.<br />

Pyloor hypertrofie<br />

• incidentie: 1/250, jongens>meisjes, eerstgeboren<br />

• projectielbaken, gewichtsverlies, deshydratatie, olijf vormige pyloor bij palpatie<br />

• bevestiging door echografie<br />

• tussen 3-6 week postnataal<br />

• geen chirurgisch wel een medische urgentie!<br />

het kind ontwikkelt:<br />

1. hypokalaemie<br />

2. metabole alkalosis<br />

3. hypochloraemie<br />

compenstoire respiratoire<br />

acidosis. risico apnea<br />

soms ook subicterus met<br />

ongeconjugeerd bilirubine<br />

32

Hooray! Your file is uploaded and ready to be published.

Saved successfully!

Ooh no, something went wrong!