MENTAL SIDE REACTIONS IN PAEDIATRIC ANAESTHESIA
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Abstract:
SUMMARY Psychological complications after a stay in hospital are found more often in very young children than in older ones. Such complications as a result of hospital admission occur more frequently in children who have previously displayed signs of nervousness. Children in whom anaesthetic induction was carried out using rectal injection of pentothal show a significantly lower incidence of mental sequelae after a period in hospital than those who were anaesthetised by the inhalation method. ZUSAMMENFASSUNG Psychologische Komplikationen nach einem Spitalsaufenthalt werden bei Kleinkindern häufiger als bei älteren Kindern gefunden. Solche Komplikationen als Folge einer Spitalsaufnahme kommen häufiger bei Kindern vor, die bereits vorher Zeichen von Nervosität gezeigt haben. Kinder, bei denen die Narkoseeinleitung mittels rectaler Instillation von Pentothal ausgeführt worden war, zeigten einen significant geringeren Befall psychischer Spätfolgen nach einem Spitalsaufenthalt als solche, die mittels Inhalationsmethoden narkotisiert worden waren.Cite
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Seperti pada dewasa, teknik regional anestesi pada pediatrik kini makin popular digunakan oleh ahli anestesikarena keuntungannya. Namun demikian selalu ada risiko dan kemungkinan timbulnya komplikasi dari setiap tindakan yang dilakukan, termasuk tindakan anestesi regional pada pediatrik. Insidensi komplikasi anestesi regional pada pediatrik tidak banyak, dan kalaupun terjadi komplikasi adalah minor. Komplikasi bisa diakibatkan dari identifikasi ruang saraf, alat, obat, teknis tindakan anestesi regionalnya dan komplikasi lainnya.Walaupun tidak banyak kejadian komplikasi regional anestesi yang dilaporkan pada pediatrik, dan bukanlah komplikasi yang fatal, teknik regional anestesi pada pediatrik harus dilakukan dengan lebih hatihati, pertimbangan risiko dan keuntungannya untuk menghindari terjadinya komplikasi, terlebih karena kebanyakan komplikasi dapat dihindari dengan mempelajari teknik yang benar, menggunakan peralatan yang sesuai, dan sangat menerapkan prinsip keamanan pada pasien dengan baik.
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Genentech is partnering with the German cancer company Affimed to develop immunotherapies for multiple kinds of solid and blood cancers. Affimed is developing therapies that engage natural killer cells of the innate immune system to help direct them to attack cancer cells. Genentech will pay Affimed $96 million up front and up to $5 billion more in potential payments.
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The nationally-recognized Susquehanna
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