Anesthetic management in a child with Rolland-Desbuquois type dyssegmental dysplasia

Abstract A case of a 17-month-old boy with dissegmental dysplasia of the Rolland-Desbuquois type, who was scheduled for bilateral inguinal herniotomy, is presented. Preoperative assessment showed limited mouth opening, head extension, and kyphosis. Intubation with a size 4 mm endotracheal tube (ETT)...

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Veröffentlicht in:Journal of clinical anesthesia 2014-12, Vol.26 (8), p.676-678
Hauptverfasser: Okutani, Ryu, MD, PhD, Arima, Yu, MD, Oda, Yutaka, MD, PhD
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creator Okutani, Ryu, MD, PhD
Arima, Yu, MD
Oda, Yutaka, MD, PhD
description Abstract A case of a 17-month-old boy with dissegmental dysplasia of the Rolland-Desbuquois type, who was scheduled for bilateral inguinal herniotomy, is presented. Preoperative assessment showed limited mouth opening, head extension, and kyphosis. Intubation with a size 4 mm endotracheal tube (ETT) was achieved with fiberoptic bronchoscopy, after which surgery proceeded uneventfully and the ETT was carefully removed. Copious airway secretions required frequent suctioning. On the second postoperative day, respiratory status stabilized, and the patient was discharged home.
doi_str_mv 10.1016/j.jclinane.2014.06.004
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Preoperative assessment showed limited mouth opening, head extension, and kyphosis. Intubation with a size 4 mm endotracheal tube (ETT) was achieved with fiberoptic bronchoscopy, after which surgery proceeded uneventfully and the ETT was carefully removed. Copious airway secretions required frequent suctioning. 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subjects Achondroplasia - physiopathology
Airway management
Anesthesia
Anesthesia & Perioperative Care
Anesthetics - administration & dosage
Bronchoscopy - methods
Campomelic Dysplasia - physiopathology
Cleft Palate - physiopathology
Difficult airway management
Dwarfism
Dyssegmental dysplasia
Fiber Optic Technology
General anesthesia
Hernia, Inguinal - surgery
Herniorrhaphy - methods
Humans
Infant
Intubation
Intubation, Intratracheal - methods
Male
Medical prognosis
Ostomy
Pain Medicine
Pediatrics
Rolland-Desbuquois type
Surgery
Ventilation
Vertebrae
title Anesthetic management in a child with Rolland-Desbuquois type dyssegmental dysplasia
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