RESUMEN
The use of hands free self-adhesive electrode pads for monitoring and defibrillation, rather than using defibrillation paddles, has been widely adopted in many hospitals. This system can be used on automated external defibrillators as well as manual defibrillators. We describe two cases where we could not cardiovert neonates safely using self-adhesive electrode pads (SAEP) with a manual defibrillator and why we had to revert to using standard paediatric defibrillator paddles.
Asunto(s)
Adhesivos/efectos adversos , Desfibriladores , Cardioversión Eléctrica/instrumentación , Electrodos , Cateterismo Periférico , Análisis de Falla de Equipo , Humanos , Recién Nacido , Monitoreo Fisiológico/instrumentación , Venas UmbilicalesRESUMEN
We report the use of vincristine to treat a large steroid resistant haemangioma of the lower face and neck. At the time of treatment the lesion had shown no signs of involution. The haemangioma was not life threatening but extension within the mouth was associated with bleeding and ulceration, which was impairing feeding and speech development. A significant improvement was seen with vincristine treatment.
Asunto(s)
Antineoplásicos Fitogénicos/uso terapéutico , Neoplasias de Cabeza y Cuello/tratamiento farmacológico , Hemangioma/tratamiento farmacológico , Vincristina/uso terapéutico , Femenino , Glucocorticoides/uso terapéutico , Neoplasias de Cabeza y Cuello/patología , Hemangioma/patología , Humanos , Lactante , Imagen por Resonancia Magnética , Prednisolona/uso terapéuticoRESUMEN
AIM: To estimate the frequency of pericardial effusion/cardiac tamponade associated with the use of neonatal percutaneous long lines (PLLs) over the past five years. METHOD: A retrospective nationwide postal survey, of all neonatal and special care units in the United Kingdom. RESULTS: Eighty two cases of pericardial effusion/cardiac tamponade were reported from the five year period, during which we estimate that 46 000 PLLs were inserted. The calculated frequency of pericardial effusion/cardiac tamponade occurring with PLLs was 1.8/1000 lines. There were 30 deaths, giving a fatality rate after pericardial effusion of 0.7/1000 lines. CONCLUSIONS: Pericardial effusion/cardiac tamponade is a serious but infrequent complication of PLL use.