The Experts below are selected from a list of 6 Experts worldwide ranked by ideXlab platform
L U Yuzho - One of the best experts on this subject based on the ideXlab platform.
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results analysis and clinical diagnostic value of x ray in congenital Hypertrophic Pylorus Stenosis
Modern Preventive Medicine, 2011Co-Authors: L U YuzhoAbstract:[Objective]To sum up the X-ray features of congenital Hypertrophic Pylorus Stenosis,and to investigate the clinical diagnostic value of X-ray in congenital Hypertrophic Pylorus Stenosis.[Methods]X-ray results of 35 patients with surgically proved congenital Hypertrophic Pylorus Stenosis were analysed retrospectively,and the diagnostic sensitivity of X-ray in congenital Hypertrophic Pylorus Stenosis was calculated.[Results]①X-ray results of 35 patients with congenital Hypertrophic Pylorus Stenosis demonstrated that there were 35(100.0%)cases with gastric emptying delay,31(88.6%)cases with gastric dilatation,26(74.3%)cases with gastric-esophageal backflow;30(85.7%)cases with bird-mouth sign,29(82.9%)cases with line-like sign,25(71.4%)cases with shoulder-like sign,22(62.9%)cases with double-track sign,20(57.1%)cases with fungus-like sign.②Among the five before-mentioned signs,35(100.0%)cases had two or more signs,31(88.6%)cases had three or more signs,23(65.7%)cases had four or more signs,11(31.4%)cases had five signs at the same time.[Conclusion]The typical X-ray features of congenital Hypertrophic Pylorus Stenosis include long and narrow pyloric tubes and compression of Hypertrophic pyloric circular muscles. Using any 3 signs positive as the diagnostic criteria of congenital Hypertrophic Pylorus Stenosis,we can get better diagnostic sensitivity and specificity.
Peter Marhofer - One of the best experts on this subject based on the ideXlab platform.
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Management of Hypertrophic Pylorus Stenosis with ultrasound guided single shot epidural anaesthesia--a retrospective analysis of 20 cases.
Paediatric anaesthesia, 2010Co-Authors: Harald Willschke, Anette-marie Machata, Winfried Rebhandl, Thomas Benkoe, Stephan C Kettner, Lydia Brenner, Peter MarhoferAbstract:Summary Aim: To retrospectively describe the performance of ultrasound guided thoracic epidural anaesthesia under sedation for anaesthesia management of open pyloromyotomy. Background: Anaesthesia management for Hypertrophic Pylorus Stenosis (HPS) is usually performed under general anaesthesia with tracheal intubation. Only a few publications describe avoidance of tracheal intubation in infants by using spinal or caudal anaesthesia. The present retrospective analysis describes the performance of ultrasound guided thoracic epidural anaesthesia under sedation for anaesthetic management of open pyloromyotomy. Methods: Twenty consecutive infants scheduled for pyloromyotomy according to the Weber–Ramstedt technique were retrospectively analysed. After sedation with nalbuphine and propofol, an ultrasound guided single shot thoracic epidural anaesthesia was performed with 0.75 ml·kg−1 ropivacaine 0.475%. Insufficient blockade was defined as increase of HR > 15% from initial value and/or any movements at skin incision. In those cases we were prepared for rapid sequence intubation according to the departmental standard. Results: All pyloromyotomies could be performed under single shot thoracic epidural anaesthesia and sedation. One case of moderate oxygen desaturation was treated with intermittent ventilation via face mask. Conclusions: Thoracic epidural anaesthesia under sedation for pyloromyotomy has been a useful technique in this retrospective series of infants suffering from HPS. In 1/20 infants short term assisted ventilation via face mask was required. Undisturbed surgery was possible in all cases.
Harald Willschke - One of the best experts on this subject based on the ideXlab platform.
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Management of Hypertrophic Pylorus Stenosis with ultrasound guided single shot epidural anaesthesia--a retrospective analysis of 20 cases.
Paediatric anaesthesia, 2010Co-Authors: Harald Willschke, Anette-marie Machata, Winfried Rebhandl, Thomas Benkoe, Stephan C Kettner, Lydia Brenner, Peter MarhoferAbstract:Summary Aim: To retrospectively describe the performance of ultrasound guided thoracic epidural anaesthesia under sedation for anaesthesia management of open pyloromyotomy. Background: Anaesthesia management for Hypertrophic Pylorus Stenosis (HPS) is usually performed under general anaesthesia with tracheal intubation. Only a few publications describe avoidance of tracheal intubation in infants by using spinal or caudal anaesthesia. The present retrospective analysis describes the performance of ultrasound guided thoracic epidural anaesthesia under sedation for anaesthetic management of open pyloromyotomy. Methods: Twenty consecutive infants scheduled for pyloromyotomy according to the Weber–Ramstedt technique were retrospectively analysed. After sedation with nalbuphine and propofol, an ultrasound guided single shot thoracic epidural anaesthesia was performed with 0.75 ml·kg−1 ropivacaine 0.475%. Insufficient blockade was defined as increase of HR > 15% from initial value and/or any movements at skin incision. In those cases we were prepared for rapid sequence intubation according to the departmental standard. Results: All pyloromyotomies could be performed under single shot thoracic epidural anaesthesia and sedation. One case of moderate oxygen desaturation was treated with intermittent ventilation via face mask. Conclusions: Thoracic epidural anaesthesia under sedation for pyloromyotomy has been a useful technique in this retrospective series of infants suffering from HPS. In 1/20 infants short term assisted ventilation via face mask was required. Undisturbed surgery was possible in all cases.
Anette-marie Machata - One of the best experts on this subject based on the ideXlab platform.
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Management of Hypertrophic Pylorus Stenosis with ultrasound guided single shot epidural anaesthesia--a retrospective analysis of 20 cases.
Paediatric anaesthesia, 2010Co-Authors: Harald Willschke, Anette-marie Machata, Winfried Rebhandl, Thomas Benkoe, Stephan C Kettner, Lydia Brenner, Peter MarhoferAbstract:Summary Aim: To retrospectively describe the performance of ultrasound guided thoracic epidural anaesthesia under sedation for anaesthesia management of open pyloromyotomy. Background: Anaesthesia management for Hypertrophic Pylorus Stenosis (HPS) is usually performed under general anaesthesia with tracheal intubation. Only a few publications describe avoidance of tracheal intubation in infants by using spinal or caudal anaesthesia. The present retrospective analysis describes the performance of ultrasound guided thoracic epidural anaesthesia under sedation for anaesthetic management of open pyloromyotomy. Methods: Twenty consecutive infants scheduled for pyloromyotomy according to the Weber–Ramstedt technique were retrospectively analysed. After sedation with nalbuphine and propofol, an ultrasound guided single shot thoracic epidural anaesthesia was performed with 0.75 ml·kg−1 ropivacaine 0.475%. Insufficient blockade was defined as increase of HR > 15% from initial value and/or any movements at skin incision. In those cases we were prepared for rapid sequence intubation according to the departmental standard. Results: All pyloromyotomies could be performed under single shot thoracic epidural anaesthesia and sedation. One case of moderate oxygen desaturation was treated with intermittent ventilation via face mask. Conclusions: Thoracic epidural anaesthesia under sedation for pyloromyotomy has been a useful technique in this retrospective series of infants suffering from HPS. In 1/20 infants short term assisted ventilation via face mask was required. Undisturbed surgery was possible in all cases.
Winfried Rebhandl - One of the best experts on this subject based on the ideXlab platform.
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Management of Hypertrophic Pylorus Stenosis with ultrasound guided single shot epidural anaesthesia--a retrospective analysis of 20 cases.
Paediatric anaesthesia, 2010Co-Authors: Harald Willschke, Anette-marie Machata, Winfried Rebhandl, Thomas Benkoe, Stephan C Kettner, Lydia Brenner, Peter MarhoferAbstract:Summary Aim: To retrospectively describe the performance of ultrasound guided thoracic epidural anaesthesia under sedation for anaesthesia management of open pyloromyotomy. Background: Anaesthesia management for Hypertrophic Pylorus Stenosis (HPS) is usually performed under general anaesthesia with tracheal intubation. Only a few publications describe avoidance of tracheal intubation in infants by using spinal or caudal anaesthesia. The present retrospective analysis describes the performance of ultrasound guided thoracic epidural anaesthesia under sedation for anaesthetic management of open pyloromyotomy. Methods: Twenty consecutive infants scheduled for pyloromyotomy according to the Weber–Ramstedt technique were retrospectively analysed. After sedation with nalbuphine and propofol, an ultrasound guided single shot thoracic epidural anaesthesia was performed with 0.75 ml·kg−1 ropivacaine 0.475%. Insufficient blockade was defined as increase of HR > 15% from initial value and/or any movements at skin incision. In those cases we were prepared for rapid sequence intubation according to the departmental standard. Results: All pyloromyotomies could be performed under single shot thoracic epidural anaesthesia and sedation. One case of moderate oxygen desaturation was treated with intermittent ventilation via face mask. Conclusions: Thoracic epidural anaesthesia under sedation for pyloromyotomy has been a useful technique in this retrospective series of infants suffering from HPS. In 1/20 infants short term assisted ventilation via face mask was required. Undisturbed surgery was possible in all cases.