scholarly journals Anesthetic Management of a Pediatric Patient with Emanuel Syndrome

2021 ◽  
Author(s):  
Bengisu Ercan ◽  
Aysun Ankay Yılbaş ◽  
Özgür Canbay ◽  
Ümitcan Ünver
Keyword(s):  
Pediatric Patient ◽  
Anesthetic Management ◽  
Pediatric Intensive Care ◽  
Anesthetic Techniques ◽  
Repair Operation ◽  
Craniofacial Dysmorphism ◽  
Cleft Palate Repair ◽  
Intraoperative Period ◽  
Emanuel Syndrome ◽  
Isolated Cleft Palate

Emanuel syndrome is a very rare recessive hereditary disorder characterized by multiple congenital anomalies, craniofacial dysmorphism, significant developmental delay and mental retardation. In this case report, we discussed our anesthetic management of a pediatric patient with Emanuel Syndrome undergoing isolated cleft palate repair operation. General anesthesia was maintained with total intravenous anesthetic techniques. Videolaryngoscopy was used for endotracheal intubation. The patient was extubated at the operating room following an uneventful intraoperative period, however she developed respiratory distress and was reintubated and transferred to pediatric intensive care unit. Anesthesiologists should be prepared for difficult airway management because of concomitant micro-retrognathia, as in our patient. Most of the problems regarding anesthetic management of this extremely rare syndrome can be reduced by a detailed preoperative assesment, preparation for diffucult airway and a careful hemodynamic monitoring.

scholarly journals Anesthetic management for cesarean delivery in a woman with congenital atlantoaxial dislocation and Chiari type I anomaly: a case report and literature review

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Yuyan Nie ◽  
Weimin Zhou ◽  
Shaoqiang Huang
Keyword(s):  
Case Report ◽  
Cesarean Delivery ◽  
Anesthetic Management ◽  
Neurological Complications ◽  
Atlantoaxial Dislocation ◽  
Epidural Needle ◽  
Team Approach ◽  
Anesthetic Techniques ◽  
Type I ◽  
Combined Spinal Epidural Anesthesia

Abstract Background The preferable choice of anesthesia for the patients with congenital atlantoaxial dislocation (CAAD) and type I Arnold Chiari malformations (ACM-I) has been a very confusing issue in clinical practice. We describe the successful administration of combined spinal-epidural anesthesia for a woman with CAAD and ACM-1 accompanied by syringomyelia. Case presentation Our case report presents the successful management of a challenging obstetric patient with CAAD and ACM-1 accompanied by syringomyelia. She had high risks of difficult airway and aspiration. The injection of bolus drugs through the spinal or epidural needle may worsen the previous neurological complications. The patient was well evaluated with a multidisciplinary technique before surgery and the anesthesia was provided by a skilled anesthesiologist with slow spinal injection. Conclusions An interdisciplinary team approach is needed to weigh risks and benefits for patients with CAAD and ACM-1 undergoing cesarean delivery. Therefore, an individual anesthetic plan should be made basing on the available anesthetic equipments and physicians’ clinical experience on anesthetic techniques.

scholarly journals Anesthetic Management Of A Pediatric Patient With Arginase Deficiency

2009 ◽  
Author(s):  
Atim Abdulkadir ◽  
Yilmaz Huseyin Oguz ◽  
Cayci Tuncer ◽  
Orhan Mehmet Emin
Keyword(s):  
Pediatric Patient ◽  
Anesthetic Management ◽  
Arginase Deficiency

scholarly journals Anesthetic management in pediatric patient with Angelman syndrome - A case report -

2009 ◽  
Vol 57 (6) ◽  
pp. 785
Author(s):  
Se Jin Ok ◽  
Jae Hwan Kim ◽  
Joo Hyung Son ◽  
Woon Young Kim ◽  
Young Cheol Park
Keyword(s):  
Case Report ◽  
Pediatric Patient ◽  
Angelman Syndrome ◽  
Anesthetic Management

scholarly journals Long-term Speech Outcomes of Cleft Palate Repair in Robin Sequence versus Isolated Cleft Palate

2021 ◽  
Vol 9 (1) ◽  
pp. e3351
Author(s):  
Robrecht J. H. Logjes ◽  
Susanna Upton ◽  
Bryce A. Mendelsohn ◽  
Ryan K. Badiee ◽  
Corstiaan C. Breugem ◽  
...  
Keyword(s):  
Cleft Palate ◽  
Robin Sequence ◽  
Sequence Versus ◽  
Cleft Palate Repair ◽  
Palate Repair ◽  
Isolated Cleft Palate

scholarly journals Spinal versus general anesthesia for patients undergoing outpatient total knee arthroplasty: a national propensity matched analysis of early postoperative outcomes

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Mark C. Kendall ◽  
Alexander D. Cohen ◽  
Stephanie Principe-Marrero ◽  
Peter Sidhom ◽  
Patricia Apruzzese ◽  
...  
Keyword(s):  
Total Knee Arthroplasty ◽  
Adverse Events ◽  
General Anesthesia ◽  
Knee Arthroplasty ◽  
Anesthetic Management ◽  
Anesthetic Technique ◽  
Anesthetic Techniques ◽  
Short Term ◽  
Knee Replacements ◽  
Total Knee

Abstract Background A comparison of different anesthetic techniques to evaluate short term outcomes has yet to be performed for patients undergoing outpatient knee replacements. The aim of this investigation was to compare short term outcomes of spinal (SA) versus general anesthesia (GA) in patients undergoing outpatient total knee replacements. Methods The ACS NSQIP datasets were queried to extract patients who underwent primary, elective, unilateral total knee arthroplasty (TKA) between 2005 and 2018 performed as an outpatient procedure. The primary outcome was a composite score of serious adverse events (SAE). The primary independent variable was the type of anesthesia (e.g., general vs. spinal). Results A total of 353,970 patients who underwent TKA procedures were identified comprising of 6,339 primary, elective outpatient TKA procedures. Of these, 2,034 patients received GA and 3,540 received SA. A cohort of 1,962 patients who underwent outpatient TKA under GA were propensity matched for covariates with patients who underwent outpatient TKA under SA. SAE rates at 72 h after surgery were not greater in patients receiving GA compared to SA (0.92%, 0.66%, P = 0.369). In contrast, minor adverse events were greater in the GA group compared to SA (2.09%, 0.51%), P < 0.001. The rate of postoperative transfusion was greater in the patients receiving GA. Conclusions The type of anesthetic technique, general or spinal anesthesia does not alter short term SAEs, readmissions and failure to rescue in patients undergoing outpatient TKR surgery. Recognizing the benefits of SA tailored to the anesthetic management may maximize the clinical benefits in this patient population.

Clinical comparison of pain perception rates between computerized local anesthesia and conventional syringe in pediatric patients

2005 ◽  
Vol 29 (3) ◽  
pp. 239-243 ◽  
Author(s):  
Alma Luz San Martin-Lopez ◽  
Luis David Garrigos-Esparza ◽  
Gabriela Torre-Delgadillo ◽  
Antonio Gordillo-Moscoso ◽  
Juan Francisco Hernandez-Sierra ◽  
...  
Keyword(s):  
Analogue Scale ◽  
Pain Perception ◽  
Pediatric Patients ◽  
Anesthetic Management ◽  
Crossover Design ◽  
Anesthetic Techniques ◽  
Heart Rate Monitoring ◽  
Injection Device ◽  
To Receive ◽  
Injection Procedure

The purpose of this study was to evaluate pain perception rates in pediatric patients by comparing computerized injection device and traditional injection procedure. In a clinical trial, by using a crossover design, sixty-four patients were randomly assigned to receive, in consecutive sessions, dental anesthetic techniques with either traditional or computerized device. Visual Analogue Scale qualification and heart rate monitoring as physiologic indicator of pain response were used for the evaluation. Results showed that traditional syringe injections were more painful than computerized injection device (p&lt;0.001). Results suggested that computerized injection device reduces pain perception compared to the traditional syringe during the dental anesthetic management.

Anesthetic management of a pediatric patient with neuroleptic malignant syndrome

2011 ◽  
Vol 26 (2) ◽  
pp. 250-253 ◽  
Author(s):  
Tarun Bhalla ◽  
Douglas Maxey ◽  
Amod Sawardekar ◽  
Joseph D. Tobias
Keyword(s):  
Neuroleptic Malignant Syndrome ◽  
Pediatric Patient ◽  
Anesthetic Management
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