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Tutorial 339

Anaesthesia in a child with typhoid intestinal perforation (Part 2)

Dr. Esohe I. Ohuoba1, Dr. Falan Mouton2 and Prof. Ibironke Desalu1

Edited by

Dr. Faye Evans3, Dr. Catharine Wilson4

1 Consultant anaesthetist, Lagos University Teaching Hospital, Nigeria

2 Paediatric anaesthesia fellow, 3 Anaesthesiologist, Boston Children’s Hospital, USA

4 Consultant anaesthetist, Sheffield Children’s Hospital, UK Correspondence to atotw@wordpress-1154955-4022140.cloudwaysapps.com

11th OCT 2016

Abstract

Typhoid intestinal perforation is a surgical emergency. The child presents acutely ill with fluid and electrolyte derangement and a full stomach. This tutorial covers the assessment, pre-anaesthetic optimization, intraoperative management and post-operative care of a child with typhoid intestinal perforation.