Chantal Hickey

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We tested the hypothesis that continuous intraoperative infusion of remifentanil is associated with the development of clinically relevant acute opioid tolerance in adolescents undergoing scoliosis surgery. Thirty adolescents were randomly assigned to receive an intraoperative analgesic regimen consisting of continuous remifentanil infusion or intermittent(More)
BACKGROUND The aim of this study was to determine the frequency and type of respiratory complications after urgent adenotonsillectomy (study group) for comparison with a control group of children undergoing a sleep study and adenotonsillectomy for obstructive sleep apnea syndrome. A second aim was to assess risk factors predictive of respiratory(More)
OBJECTIVES We investigated the effects of different CO(2) tensions on oxygenation, pulmonary blood flow (Qp), cerebral blood flow, and systemic blood flow (Qs) after the bidirectional superior cavopulmonary anastomosis (BCPA). BACKGROUND Hypoxemia refractory to management of a high pulmonary vascular resistance index (PVRI) may complicate recovery from(More)
The successful management of a pediatric airway case in the operating room (OR) relies on many qualities of the intervening team members. The ENT specialist should have medical knowledge and the ability to grasp the clinical picture, psychomotor dexterity for the manipulation of the instruments and familiarity with the assembly of the equipment, as well as(More)
The purpose of this study was to compare the results of hallux valgus correction using a proximal metatarsal osteotomy with or without a lateral distal metatarsophalangeal soft tissue procedure. This procedure included release of the lateral joint capsule and transfer of the adductor tendon into the neck of the metatarsal. Two groups of patients were(More)
OBJECTIVE We sought to assess the effects of four different CO2 tensions on systemic oxygenation, oxygen consumption, and arterial blood lactate levels early after bidirectional superior cavopulmonary anastomosis. DESIGN Prospective study. SETTING Quaternary pediatric cardiac critical care unit. PATIENTS Nine children aged 2-23 months (median, 7(More)
Training in the management of pediatric airway cases has been limited by the number of cases and by the involved risks to the child. Simulation is an alternative and accessible means to practice that complex psychomotor task in a safe and reproducible environment. A high-fidelity baby mannequin provides an acceptable airway anatomic resemblance combined(More)
BACKGROUND Brachial plexus injury may occur without obvious cause in patients undergoing cardiac surgery. To determine whether such peripheral nerve injury can be predicted intraoperatively, we monitored somatosensory evoked potentials (SEPs) from bilateral median and ulnar nerves in 30 patients undergoing coronary artery bypass surgery. METHODS SEPs were(More)
Adult hallux varus is an uncommon clinical entity usually caused by an inflammatory arthropathy or overcorrection during bunion reconstruction. We present five cases of unexplained spontaneous hallux varus. Clinically, all patients initially were found to have flexible deformities, and no evidence of underlying inflammatory disease or history of trauma.(More)
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