Fluid management in infants and children during intracranial surgery

Karnik, Hemangi

doi:10.4103/2348-0548.199945

Cited by 2 publications

(3 citation statements)

References 25 publications

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“…The reason being that, in a Pediatric Healthcare setup, Ringer's lactate, and Tetraspan are safe, easily available, and the IV fluids of choice for fluid resuscitation in children and young adults since they belong to the categories of crystalloids and colloids. 25 , 26 …”

Section: Discussionmentioning

confidence: 99%

A Scanning Electron Microscopic Study on Effect of Blood and Artificial Salivary Contamination on Marginal Adaptation of Mineral Trioxide Aggregate, When Used as a Retrograde Filling Material: An In Vitro Study

Marya¹,

Arora²,

Chauhan³

et al. 2021

International Journal of Clinical Pediatric Dentistry

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Aim and objective The present study was conducted to evaluate the marginal adaptability of mineral trioxide aggregate (MTA) as a root-end filling material when manipulated using two different IV fluids intended for pediatric usage; in the presence of blood and salivary contamination. Materials and methods Sixty single-rooted teeth were selected. Conventional endodontic root canal preparation was performed on all specimens followed by root-end resection and retrograde cavity preparation. The roots were randomly divided into two groups ( n = 30). In the specimens of group I, fresh blood was used as a contaminant and in group II artificial saliva was used as a contaminant. In both groups, MTA (e-MTA, Kids-e-Dental®) manipulated using either Ringer's lactate IV fluid ( n = 15) or Tetraspan IV fluid ( n = 15) was used for root-end filling in blood or artificial saliva-coated retrocavities. Furthermore, these roots were placed in beakers pooled with fresh phlebotomized blood or artificial saliva. After incubating for 48 hours, the roots were divided longitudinally to expose the retrofilled cavities and were then sputter-coated with gold-platinum dust. To assess the marginal adaptation of MTA to radicular dentin “maximum gap width” and “gap perimeter” were measured in images obtained from scanning electron microscopy of root specimens. SPSS 21 was employed for statistical analysis at ( p < 0.05). Mann–Whitney U test and ANOVA were used for analyzing the data obtained. Results The gap width was more among samples exposed to blood ( p < 0.05) than artificial saliva. No significant difference was reported in the gap perimeter when cavities were filled with MTA mixed with either IV fluids ( p > 0.05). Conclusion Exposure to blood during setting had a negative effect on gap width when retrocavities were filled with MTA using Tetraspan. No effect was seen on the arch perimeter in retrocavities filled with MTA mixed with Ringer's lactate or Tetraspan. Clinical significance For avoiding failure, it is critical to select a biocompatible root-end filling material with high sealing ability. Hence, by doing the same, the clinical situation can be simulated. How to cite this article Mody A, Arora R, Chauhan P, et al. A Scanning Electron Microscopic Study on Effect of Blood and Artificial Salivary Contamination on Marginal Adaptation of Mineral Trioxide Aggregate, When Used as a Retrograde Filling Material: An In Vitro Study. Int J Clin Pediatr Dent 2021;14(5):674–680.

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Section: Discussionmentioning

confidence: 99%

A Scanning Electron Microscopic Study on Effect of Blood and Artificial Salivary Contamination on Marginal Adaptation of Mineral Trioxide Aggregate, When Used as a Retrograde Filling Material: An In Vitro Study

Marya¹,

Arora²,

Chauhan³

et al. 2021

International Journal of Clinical Pediatric Dentistry

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“…Panduan tranfusi dapat dietentukan berdasarkan tren arterial hemodinamik dan tekanan vena sentral. Kondisi dimana hasil 14,15 Operasi kraniofasial sering kali merupakan prosedur lama yang melibatkan kehilangan darah dalam jumlah besar, biasanya dilakukan pada bayi dan anak kecil. Manajemen cairan berkontribusi secara signifikan terhadap keberhasilan operasi ini.…”

Section: Pembahasanunclassified

“…Koloid biasanya digunakan hanya setelah 50 ml/ kg kristaloid diberikan, terutama apabila transfusi darah harus dihindari. 14 Kraniosinostosis pada pasien ini merupakan sebuah bagian dari sindrom kraniofasial yaitu hipertelorisme yang memberi tantangan dalam hal tatalaksana jalan napas mulai dari ventilasi hingga intubasi. Ventilasi pada pasien ini masalah menjadi masalah utama sehingga dilakukan modifikasi teknik ventilasi sungkup muka dengan menggunakan ukuran terbesar serta puncak sungkup dibalik karena deformitas pada daerah hidung pasien (gambar 4&5).…”

Section: Pembahasanunclassified

Manajemen Low Flow Anesthesia pada Pasien Kraniosinostosis dengan Hipertelorisme yang menjalani Four Box Wall Osteotomy, dan Eksisi Redundant Skin Fronto Nasal

Syarif¹,

Bisri

Harahap

et al. 2021

JNI

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Craniosynostosis is a case that diagnosed in the first year of life and can need surgical in young age. Craniosynostosis is a part of hypertelorism with incidence rate around 20%. Boy, 13 years old with hypertelorism had undergone multiple surgery for correction of hypertelorism before. Patient was planned to advance surgical correction of four box wall osteotomy which consist frontal part correction and part of it is release craniosynostosis in coronal suture. Risk of massive bleeding because patient already in teen age and length of surgery can be prolonged. Difficult airway management due to fascial deformity, use of low flow anesthesia to preserve temperature and reduce inhalation anesthesia usage, intraoperative fluid management in consideration maintenance and replacement blood loss and post operative pain management has become another consideration. Covid-19 as part of problems post operatively being known before extubation made the process is delayed. Massive bleeding needs massive transfusion protocol to speed up blood availability. Blood product such as PRC, FFP and TC should be available because coagulation factor is part of consideration. Anesthesia management in hypertelorism with four box wall osteotomy need good communication between anesthesiologist, neurosurgeon, plastic surgeon and pediatric intensivist to reduce perioperative risk including covid-19 in pandemic era.

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Fluid management in infants and children during intracranial surgery

Cited by 2 publications

References 25 publications

A Scanning Electron Microscopic Study on Effect of Blood and Artificial Salivary Contamination on Marginal Adaptation of Mineral Trioxide Aggregate, When Used as a Retrograde Filling Material: An In Vitro Study

A Scanning Electron Microscopic Study on Effect of Blood and Artificial Salivary Contamination on Marginal Adaptation of Mineral Trioxide Aggregate, When Used as a Retrograde Filling Material: An In Vitro Study

Manajemen Low Flow Anesthesia pada Pasien Kraniosinostosis dengan Hipertelorisme yang menjalani Four Box Wall Osteotomy, dan Eksisi Redundant Skin Fronto Nasal

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