N2O-free low-flow anesthesia technique for children.

Background: The use of N2O during low-flow anesthesia (LFA) causes difficulty in predicting inspired gas mixtures and oxygen concentration due to accumulation. An alternative technique, which uses a mixture of oxygen and air and a morphine infusion to replace N2O, has been evaluated in children during LFA, and the clinical effects and composition of gases in the system are presented here.

Methods: Thirty-five children aged 2-13 years undergoing major urogenital surgery were recruited into the study.

Caroli's disease in children: is it commonly misdiagnosed?

Aim: Caroli's disease is a simple form of intrahepatic bile duct ectasia. It can be complicated with the involvement of liver parenchyma and portal hypertension. Herein, the difficult management of delayed presentation of Caroli's disease is reported.

Effectiveness of morphine via thoracic epidural vs intravenous infusion on postthoracotomy pain and stress response in children.

Background: Thoracotomy causes severe pain in the postoperative period. The aim was to evaluate effectiveness of two pain treatment methods with morphine on postthoracotomy pain and stress response.

Methods: Thirty-two children undergoing major thoracotomy for noncardiac thoracic surgery were allocated to receive either single dose of thoracic epidural morphine 0.

Extrathoracic liver hamartoma.

Mesenchymal hamartoma is a benign tumor of the liver that often presents because of a palpable abdominal mass or respiratory distress. An unusual protrusion of this tumor through the chest wall of a neonate with Poland's syndrome is reported.

Management of esophagogastric corrosive injuries in children.

There has been an increase in the number of patients admitted to our hospital with caustic esophageal injuries during the last five years. The aim of this study was to analyze the complications and results of the treatment of corrosive esophagogastric injury. Between 1990 and 2000, 120 caustic ingestion accidents were admitted to our unit.