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 |
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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. On the second postoperative day, respiratory status stabilized, and the patient was discharged home.</description><identifier>ISSN: 0952-8180</identifier><identifier>EISSN: 1873-4529</identifier><identifier>DOI: 10.1016/j.jclinane.2014.06.004</identifier><identifier>PMID: 25439408</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>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</subject><ispartof>Journal of clinical anesthesia, 2014-12, Vol.26 (8), p.676-678</ispartof><rights>2014</rights><rights>Copyright © 2014. Published by Elsevier Inc.</rights><rights>Copyright Elsevier Limited 2014</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c554t-2c59bd50bd5368ee5326a31e46f94b1f2941c8a9293e289901a3f5ae640f36063</citedby><cites>FETCH-LOGICAL-c554t-2c59bd50bd5368ee5326a31e46f94b1f2941c8a9293e289901a3f5ae640f36063</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S0952818014002517$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,776,780,3537,27901,27902,65306</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/25439408$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Okutani, Ryu, MD, PhD</creatorcontrib><creatorcontrib>Arima, Yu, MD</creatorcontrib><creatorcontrib>Oda, Yutaka, MD, PhD</creatorcontrib><title>Anesthetic management in a child with Rolland-Desbuquois type dyssegmental dysplasia</title><title>Journal of clinical anesthesia</title><addtitle>J Clin Anesth</addtitle><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. 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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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