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Coetzee E, Gray R, Hollmann C, Enslin NJM, Coetzee JF. Anaesthetic management of a three-month-old baby for cervical limited dorsal myeloschisis repair using propofol and alfentanil infusions guided by pharmacokinetic simulation software: A case report. South Afr J Anaesth Analg 2019. [DOI: 10.36303/sajaa.2019.25.6.a5] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022]
Abstract
We present an uncommon case of limited dorsal myeloschisis in a 3-month-old infant requiring repair guided by intraoperative neuromonitoring (IONM) and therefore avoidance of volatile anaesthetic agents. The case presented challenges in positioning, airway management, a lack of age appropriate pharmacokinetic models in target-controlled infusion (TCI) syringe pumps and unavailability of remifentanil, considered to be an essential drug in this setting. We overcame these challenges using manually controlled infusions of propofol and alfentanil guided by pharmacokinetic simulation software (Stelsim).
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Figaji A, Fieggen G, Enslin N, Taylor A, Rohlwink U. Cerebrospinal fluid protein and shunt obstruction in tuberculous meningitis. Int J Tuberc Lung Dis 2019; 23:765. [PMID: 31315712 DOI: 10.5588/ijtld.18.0745] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/10/2022] Open
Affiliation(s)
- A Figaji
- Division of Neurosurgery, University of Cape Town, Cape Town, Neuroscience Institute, University of Cape Town, Cape Town, South Africa ,
| | - G Fieggen
- Division of Neurosurgery, University of Cape Town, Cape Town, Neuroscience Institute, University of Cape Town, Cape Town, South Africa ,
| | - N Enslin
- Division of Neurosurgery, University of Cape Town, Cape Town
| | - A Taylor
- Division of Neurosurgery, University of Cape Town, Cape Town
| | - U Rohlwink
- Division of Neurosurgery, University of Cape Town, Cape Town
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