We have a pediatric thoracotomy tray with all pediatric insturments needed
including rib spreaders. ITs basically the same tray our CT surgeons use
for peds hearts. I've had an old one open and looked thru it but never
used it. We see a fair number of blunt peds arrests, but all the
literature I've seen on pediatric trauma arrests suggests that a
thoracotomy is not a useful pursuit...
Virgil Davis, MD
Univ of Arizona
At 11:11 PM 9/19/99 EDT, Randolph J Cordle wrote:
>1. How many of your departments actually have pediatric rib spreaders
>available for emergent thoracotomy? If yours does not, do you think they
>should? Why or Why not.
>2. In prior discussions we discussed the work up of potential SIDS cases. I
>recently did a post mortem ammonia level (about 1.5 hours) and it returned
>very high. Does anyone know or have literature addressing post mortem
>ammonia levels? Do you think this child had a metabolic disease or a
>worthless test drawn?
>Randy Cordle MD
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