Anesthetic management of a pediatric patient with Loeys‐Dietz syndrome: A case report

Autor:	Koui Ka, Yosuke Kamikado, Takahiro Mihara
Rok vydání:	2019
Předmět:	medicine.medical_specialty business.industry Anesthetic management Hemodynamics Autosomal dominant trait medicine.disease Loeys–Dietz syndrome Surgery 03 medical and health sciences Pediatric patient 0302 clinical medicine Anesthesiology and Pain Medicine Blood pressure 030202 anesthesiology 030225 pediatrics Pediatrics Perinatology and Child Health medicine Risks and benefits medicine.symptom business Collapse (medical)
Zdroj:	Pediatric Anesthesia. 29:875-877
ISSN:	1460-9592 1155-5645
DOI:	10.1111/pan.13673
Popis:	Loeys-Dietz syndrome, a rare autosomal dominant disease, is characterized by arterial tortuosity and skeletal manifestations. We report anesthetic management of scoliosis surgery for a pediatric Loeys-Dietz syndrome patient. During surgery, severe hypotension occurred when a rotation-correction was performed; blood pressure returned to the baseline level after the maneuver was abandoned. We decided to not conduct rotation correction after discussing risks and benefits of the maneuver with surgeons. Since severe hemodynamic instability is expected in scoliosis surgery for Loeys-Dietz syndrome patients, we should be prepare for hemodynamic collapse and risks and benefits of the operative procedure should be discussed before undertaking the procedure.
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_________::d9f425931cb4b69965fc30dce0ce4871 https://doi.org/10.1111/pan.13673 Zobrazit plný text záznamu Plný text ve formátu PDF Plný text ve formátu HTML
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