Anaesthetic management of a three-month-old baby for cervical limited dorsal myeloschisis repair using propofol and alfentanil infusions guided by pharmacokinetic simulation software : case report

dc.contributor.authorCoetzee, E.en_ZA
dc.contributor.authorGray, R.en_ZA
dc.contributor.authorHollmann, C.en_ZA
dc.contributor.authorEnslin, N. J. M.en_ZA
dc.contributor.authorCoetzee, J. F.en_ZA
dc.date.accessioned2021-03-04T11:54:36Z
dc.date.available2021-03-04T11:54:36Z
dc.date.issued2019
dc.descriptionCITATION: Coetzee, E., et al. 2019. Anaesthetic management of a three-month-old baby for cervical limited dorsal myeloschisis repair using propofol and alfentanil infusions guided by pharmacokinetic simulation software :a case report. Southern African Journal of Anaesthesia and Analgesia, 25(6):32-35, doi:10.36303/SAJAA.2019.25.6.A5.
dc.descriptionThe original publication is available at http://www.sajaa.co.za/index.php/sajaa
dc.description.abstractENGLISH ABSTRACT: We present an uncommon case of limited dorsal myeloschisis in a 3-month-old infant requiring repair guided by intraoperative neuromonitoring (IONM) and therefore avoidance of volatile anaesthetic agents. The case presented challenges in positioning, airway management, a lack of age appropriate pharmacokinetic models in target-controlled infusion (TCI) syringe pumps and unavailability of remifentanil, considered to be an essential drug in this setting. We overcame these challenges using manually controlled infusions of propofol and alfentanil guided by pharmacokinetic simulation software (Stelsim).en_ZA
dc.description.urihttp://www.sajaa.co.za/index.php/sajaa/article/view/2279
dc.description.versionPublisher's version
dc.format.extent4 pagesen_ZA
dc.identifier.citationCoetzee, E., et al. 2019. Anaesthetic management of a three-month-old baby for cervical limited dorsal myeloschisis repair using propofol and alfentanil infusions guided by pharmacokinetic simulation software :a case report. Southern African Journal of Anaesthesia and Analgesia, 25(6):32-35, doi:10.36303/SAJAA.2019.25.6.A5
dc.identifier.issn2220-1173 (online)
dc.identifier.issn2220-1181 (print)
dc.identifier.otherdoi:10.36303/SAJAA.2019.25.6.A5
dc.identifier.urihttp://hdl.handle.net/10019.1/109620
dc.language.isoen_ZAen_ZA
dc.publisherMedpharm Publicationsen_ZA
dc.rights.holderAuthors retain copyrighten_ZA
dc.subjectCervical limited dorsal myeloschisisen_ZA
dc.subjectNeurophysiologic monitoringen_ZA
dc.subjectIntravenous anesthesiaen_ZA
dc.subjectPediatrics -- Anaesthesiaen_ZA
dc.titleAnaesthetic management of a three-month-old baby for cervical limited dorsal myeloschisis repair using propofol and alfentanil infusions guided by pharmacokinetic simulation software : case reporten_ZA
dc.typeArticleen_ZA
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