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The optimal site for central venous measurement in newborn infants
593
INTERNATIONAL ABSTRAC'I'S OF PEDIATRIC SURGERY
standing study and is recommended to all pediatric surgeons interested in accident prevention. The investigators have done the essential piece of work--establishing a control group (no educational program) against which to compare the study group (intensive educational programing ). The basic conclusion--simply stated--is that there was no demonstrable difference in the rate, type or degree of injury between both
groups.--Robert J. lzant, Jr,
This study emphasizes the inaccuracy of utilizing the inferior vena caval pressure as a measure of effective central venous filling in the presence of abdominal distention. The importance of cannulating the superior cava has been demonstrated in laboratory animals and in a 3 year old boy.--George W. Hol-
comb. CLINICAL USE
OF
TRANSILLUMINATION.
D. B. Shurtleff, E. L. Foltz and D. Fry. Arch. Dis. Child. 41:183, April 1966.
STATISTICAL INVESTIGATION OF MORTALITY AND MORBIDITY DUE TO ACCIDENTS IN CHILDHOOD (PossIBILITIES OF PREVENTION). M. Vest. Schweiz. Med. Wchnschr.
96:687-694, 1966. In Switzerland 45 per cent of all deaths between the ages of 1 and 19 years are due to accidents; half of them are traffic accidents. In decreasing order of incidence, the other most frequent causes of accidental death are drowning, falls, burns, poisoning and suffocation with variations according to age group. Girls are less subject to accidents than boys. For every accidental death there are 100 to 200 nonfatal accidents. Every year 10 per cent of all children are victim of accidents which may result in permanent disability. Prevention of accidents is twofold: education of children and parents, on the one hand, elimination of sources of danger, especially in the household, on the other hand.--M. Bettex
An apparatus for photographic recording of translucent lesions is described in which standardization of light source, time of exposure and recording device obviate the variable results obtained by other methods. Four cases (hydrocephalus, cystic b r a i n disease, subdural hydroma, subdural hematoma) are reported which illustrate the use of cranial transillumination in the detection of fluid--containing lesions in the silent neopallium of infants. One case (congenital stenosis of the mesenteric vein) is described to illustrate the use of abdominal transillumination to define organ size in an abdomen tensely distended by ascites. Other conditions in which the naethod is of value are cited.--Irene M. Irving. A NEW HEMOSTATIC CLIP: Two-YEAR RE-
VIEW OF 1,007 CASES. Peter B. Samuels,
Herbert Roedling, Robert Katz and John J. Cineotti. Ann. Surg. 163:427-431, March 1966.
TIlE OPTIMAL SITE FOR CENTRAL VENOUS MEASUREMENT IN NEWBORN INFANTS.
J. L. Tolbert and J. A. Haller, Jr. J. Surg. Res. 6:168, April 1966. A comparison of superior and inferior vena caval pressures was made in 2 adult dogs and an 8 week old puppy. Following injection of intraperitoneal air there was an associated elevation of inferior caval pressure in each instance. These fluctuation were not observed in the superior vena caval pressures. Employing similar monitoring technics, intraperitoneal air was injected into a 3 year old boy in preparation for a staged repair of an omphalocele. As in dogs, the increased abdominal pressure resulted in elevation of inferior vena caval pressure with no significant alterations in superior vena caval pressure.
This article reports the experience and the design of the first new hemostatic clip since Cushing's original deseription in 1911. The present clip, manufactured by Edward Week & Co., Inc., has been used in a large variety of eases including eholeeystectomy, vagotomy, varicose vein surgery, retroperitoneal dissection, but also used in various head and neck, chest, abdominal and arterial surgery. There have been no early or late complications. The clip is designed so that it completely encircles the structure involved before the sides close down. The ctip has longitudinal as well as transverse groves in it to prevent necrosis. The clip comes in one size (.2 inches when closed). The reviewer has had no personal experience with this clip but concurs with the
INTERNATIONAL ABSTRAC'I'S OF PEDIATRIC SURGERY
standing study and is recommended to all pediatric surgeons interested in accident prevention. The investigators have done the essential piece of work--establishing a control group (no educational program) against which to compare the study group (intensive educational programing ). The basic conclusion--simply stated--is that there was no demonstrable difference in the rate, type or degree of injury between both
groups.--Robert J. lzant, Jr,
This study emphasizes the inaccuracy of utilizing the inferior vena caval pressure as a measure of effective central venous filling in the presence of abdominal distention. The importance of cannulating the superior cava has been demonstrated in laboratory animals and in a 3 year old boy.--George W. Hol-
comb. CLINICAL USE
OF
TRANSILLUMINATION.
D. B. Shurtleff, E. L. Foltz and D. Fry. Arch. Dis. Child. 41:183, April 1966.
STATISTICAL INVESTIGATION OF MORTALITY AND MORBIDITY DUE TO ACCIDENTS IN CHILDHOOD (PossIBILITIES OF PREVENTION). M. Vest. Schweiz. Med. Wchnschr.
96:687-694, 1966. In Switzerland 45 per cent of all deaths between the ages of 1 and 19 years are due to accidents; half of them are traffic accidents. In decreasing order of incidence, the other most frequent causes of accidental death are drowning, falls, burns, poisoning and suffocation with variations according to age group. Girls are less subject to accidents than boys. For every accidental death there are 100 to 200 nonfatal accidents. Every year 10 per cent of all children are victim of accidents which may result in permanent disability. Prevention of accidents is twofold: education of children and parents, on the one hand, elimination of sources of danger, especially in the household, on the other hand.--M. Bettex
An apparatus for photographic recording of translucent lesions is described in which standardization of light source, time of exposure and recording device obviate the variable results obtained by other methods. Four cases (hydrocephalus, cystic b r a i n disease, subdural hydroma, subdural hematoma) are reported which illustrate the use of cranial transillumination in the detection of fluid--containing lesions in the silent neopallium of infants. One case (congenital stenosis of the mesenteric vein) is described to illustrate the use of abdominal transillumination to define organ size in an abdomen tensely distended by ascites. Other conditions in which the naethod is of value are cited.--Irene M. Irving. A NEW HEMOSTATIC CLIP: Two-YEAR RE-
VIEW OF 1,007 CASES. Peter B. Samuels,
Herbert Roedling, Robert Katz and John J. Cineotti. Ann. Surg. 163:427-431, March 1966.
TIlE OPTIMAL SITE FOR CENTRAL VENOUS MEASUREMENT IN NEWBORN INFANTS.
J. L. Tolbert and J. A. Haller, Jr. J. Surg. Res. 6:168, April 1966. A comparison of superior and inferior vena caval pressures was made in 2 adult dogs and an 8 week old puppy. Following injection of intraperitoneal air there was an associated elevation of inferior caval pressure in each instance. These fluctuation were not observed in the superior vena caval pressures. Employing similar monitoring technics, intraperitoneal air was injected into a 3 year old boy in preparation for a staged repair of an omphalocele. As in dogs, the increased abdominal pressure resulted in elevation of inferior vena caval pressure with no significant alterations in superior vena caval pressure.
This article reports the experience and the design of the first new hemostatic clip since Cushing's original deseription in 1911. The present clip, manufactured by Edward Week & Co., Inc., has been used in a large variety of eases including eholeeystectomy, vagotomy, varicose vein surgery, retroperitoneal dissection, but also used in various head and neck, chest, abdominal and arterial surgery. There have been no early or late complications. The clip is designed so that it completely encircles the structure involved before the sides close down. The ctip has longitudinal as well as transverse groves in it to prevent necrosis. The clip comes in one size (.2 inches when closed). The reviewer has had no personal experience with this clip but concurs with the