Sevoflurane anesthesia and brain perfusion.

Objective/aim: To assess the impact of sevoflurane and anesthesia-induced hypotension on brain perfusion in children younger than 6 months.

Background: Safe lower limit of blood pressure during anesthesia in infant is unclear, and inadequate anesthesia can lead to hypotension, hypocapnia, and low cerebral perfusion. Insufficient cerebral perfusion in infant during anesthesia is an important factor of neurological morbidity.

Impact of sevoflurane anesthesia on brain oxygenation in children younger than 2 years.

Objective/aim: To assess the impact of sevoflurane and anesthesia-induced hypotension on brain oxygenation in children younger than 2 years.

Background: Inhalational induction with sevoflurane is the most commonly used technique in young children. However, the effect of sevoflurane on cerebral perfusion has been only studied in adults and children older than 1 year.

[Anaesthetic management of a child with hemoglobinopathy].

Perioperative management of a child with sickle-cell disease requires close collaboration between hematologist, surgeon and anesthetist. The level of preoperative preparation must consider both the surgical risk and the impact of the disease. Preoperative hydration and blood transfusion are the most important part of preoperative management.

Latex allergy in children: modalities and prevention.

Allergic or immediate hypersensitivity reactions to latex have been reported in children with increasing frequency in the past. The reported prevalence varies greatly depending upon the population studied and the methods used to detect sensitization. Children's subpopulations at particular risk include: atopics, individuals with spina bifida, children undergoing surgical procedure during the neonatal period and individuals who required frequent surgical instrumentations.