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Presents a case of postoperative apnea, possibly caused by caudal clonidine in a neonate undergoing inguinal herniorrhaphy, who received a combination of light inhalation anesthesia plus caudal block with rapivacaine and clonidine. Absence of apparent risk factors for postanesthetic apnea in the patient; Minor abnormalities observed during oxycardiorespirography several days after surgery; Conclusion that clonidine caused postanesthetic apnea in the neonate.

A neonate with chromosomal 9 abnormality and omphalocele received a lumbar epidural catheter after laparotomy. Several attempts were needed to establish this catheter. Bleeding occurred from the operative wound after surgery. Using an epidural infusion with ropivacaine 0.1% for 48 h postoperative pain relief was sufficient. Four days after epidural catheter removal, dysfunction of the sacral parasympathetic nerves was noted. Motor and sensor function of the lower limbs were unaffected. Magnetic resonance imaging showed a localized intraspinal haematoma in the lower lumbar region. [ABSTRACT FROM AUTHOR]

SummaryThe case of a 680 g premature baby who developed massive spontaneous liver haemorrhage during laparotomy for necrotizing enterocolitis is reported. The infant survived due to rapid and massive fluid administration, including transfusion of large volumes of blood and blood products, in combination with high dose inotropic support and the surgical use of packing with thrombostatic sponges. Good venous access, including two central venous lines, turned out to be very useful. [ABSTRACT FROM AUTHOR]