04 / Anesthetic management of a patient with congenital insensitivity to pain and anhidrosis using remifentanil

2018 ◽  
Author(s):  
Yoko Takeuchi
Keyword(s):  
Anesthetic Management ◽  
Congenital Insensitivity ◽  
Congenital Insensitivity To Pain ◽  
Insensitivity To Pain

Anesthetic management of a pediatric patient with congenital insensitivity to pain

2009 ◽  
Vol 19 (5) ◽  
pp. 552-553 ◽  
Author(s):  
Manu Varshney ◽  
Kiran Kumar Girdhar ◽  
Saurabh Taneja ◽  
Munisha Agarwal ◽  
Preeti Goyal Varshney
Keyword(s):  
Pediatric Patient ◽  
Anesthetic Management ◽  
Congenital Insensitivity ◽  
Congenital Insensitivity To Pain ◽  
Insensitivity To Pain

Anesthetic Management of Congenital Insensitivity to Pain with Anhydrosis

1985 ◽  
Vol 63 (3) ◽  
pp. 328-328 ◽  
Author(s):  
CHIEKO MITAKA ◽  
YUKIO TSUNODA ◽  
YOSHIO HIKAWA ◽  
KENJI SAKAHIRA ◽  
ISAO MATSUMOTO
Keyword(s):  
Anesthetic Management ◽  
Congenital Insensitivity ◽  
Congenital Insensitivity To Pain ◽  
Insensitivity To Pain

scholarly journals Anesthetic management of children with congenital insensitivity to pain with anhidrosis

2019 ◽  
Vol 4 (4) ◽  
pp. 296-298
Author(s):  
Yongsheng Qiu ◽  
Liyuan Zhao ◽  
Dongdong Yao ◽  
Yingping Jia
Keyword(s):  
Anesthetic Management ◽  
Congenital Insensitivity ◽  
Congenital Insensitivity To Pain ◽  
Insensitivity To Pain

scholarly journals Office-Based Anesthetic and Oral Surgical Management of a Child With Hereditary Sensory Autonomic Neuropathy Type IV: A Case Report

2018 ◽  
Vol 65 (3) ◽  
pp. 181-186
Author(s):  
Shamit Prabhu ◽  
Kevin Fortier ◽  
Lisa Newsome ◽  
Uday N. Reebye
Keyword(s):  
General Anesthesia ◽  
Autonomic Neuropathy ◽  
Genetic Disorder ◽  
Anesthetic Management ◽  
Hospital Setting ◽  
Temperature Sensation ◽  
Type Iv ◽  
Congenital Insensitivity ◽  
Congenital Insensitivity To Pain ◽  
Insensitivity To Pain

Hereditary sensory and autonomic neuropathy type IV (HSAN IV), or congenital insensitivity to pain with anhidrosis, is an exceptionally rare genetic disorder that results in the complete loss of pain and temperature sensation as well as anhidrosis. Anesthetic management of these patients can be difficult because of significantly increased risks during general anesthesia. Literature on perioperative anesthetic management is typically written in the context of a hospital setting. As such, our case presents a unique report on the anesthetic management of a HSAN IV patient who presented for extraction of 2 teeth in an office-based setting. In determining how to safely manage the procedure, we decided against general anesthesia as we lacked the facilities and equipment to safely handle previously reported complications. We were successful in providing sedation with nitrous oxide in oxygen and applying 20% benzocaine topical ointment on the surgical site in lieu of administering general anesthesia. We had an anesthesiologist present and obtained intravenous access prior to the surgery to help manage any complications. This report provides support that simple dental extractions can be accomplished safely in the HSAN IV patient in the office-based setting, thereby avoiding unnecessary risk.

scholarly journals Frequent Anesthetic Management for a Patient with Congenital Insensitivity to Pain with Anhidrosis.

1995 ◽  
Vol 15 (2) ◽  
pp. 173-178
Author(s):  
Hiroshi SAKAMOTO ◽  
Akira ODA ◽  
Chihoko MATSUMURA ◽  
Shin-ichi DOZAKI ◽  
Ken-ichi SATOH ◽  
...  
Keyword(s):  
Anesthetic Management ◽  
Congenital Insensitivity ◽  
Congenital Insensitivity To Pain ◽  
Insensitivity To Pain

scholarly journals Anesthetic management of a patient with congenital insensitivity to pain with anhidrosis by coadministration of remifentanil

2018 ◽  
Vol 4 (1) ◽  
Author(s):  
Yoko Takeuchi ◽  
Yoshihito Fujita ◽  
Takeshi Shimomura ◽  
Shuji Kurokawa ◽  
Hiroki Noguchi ◽  
...  
Keyword(s):  
Anesthetic Management ◽  
Congenital Insensitivity ◽  
Congenital Insensitivity To Pain ◽  
Insensitivity To Pain
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