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British Journal of Anaesthesia, 1988, Vol. 61, No. 3 355-359
© 1988 The Board of Management and Trustees of the British Journal of Anaesthesia

case-report

ADENOTONSILLAR HYPERTROPHY AND COR PULMONALE

D. W. YATES, B.M., F.F.A.R.C.S.

Anaesthetic Department, Godfrey Huggins School of Medicine PO Box A178, Avondale, Harare, Zimbabwe

Present address: Department of Anaesthesia, Guy's Hospital, London SE1 9RT.

Pulmonary hypertension is a known complication of chronic upper airway obstruction resulting from adenotonsillar hypertrophy. Surgical removal of the hypertrophic tissue usually leads to rapid improvement. Although anaesthetic management is potentially hazardous, little has been written on this aspect. Six paediatric patients (all male) are reported here, and a suitable anaesthetic technique is described.


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