Opioid-free anesthesia for a child with trisomy 13 with obstructive sleep apnea: a case report
| Autor: | Atsuhiro Sakamoto, Izumi Miyazaki, Hiroaki Kishikawa, Makiko Yamamoto |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
medicine.medical_treatment Central apnea General anesthesia Opioid-induced respiratory depression Case Report Tracheal tube Sevoflurane lcsh:RD78.3-87.3 03 medical and health sciences 0302 clinical medicine 030202 anesthesiology Anesthesiology Medicine Depression (differential diagnoses) Tonsillectomy business.industry lcsh:Medical emergencies. Critical care. Intensive care. First aid lcsh:RC86-88.9 medicine.disease Non-narcotic Obstructive sleep apnea Trisomy 13 Anesthesiology and Pain Medicine Opioid-free lcsh:Anesthesiology Anesthesia business Trisomy 030217 neurology & neurosurgery medicine.drug |
| Zdroj: | JA Clinical Reports JA Clinical Reports, Vol 6, Iss 1, Pp 1-4 (2020) |
| ISSN: | 2363-9024 |
| Popis: | Background Most children with trisomy 13 display central apnea, and are prone to opioid-induced respiratory depression. We conducted opioid-free anesthesia for a patient with trisomy 13 and obstructive sleep apnea, and safely extubated the patient in the operating room. Case presentation A 27-month-old girl with trisomy 13 underwent tonsillectomy. Given her high sensitivity to opioids, general anesthesia was introduced and maintained only with 2–5% sevoflurane and 33% nitrous oxide in oxygen. We used acetaminophen for postoperative analgesia. The tracheal tube was removed under stable breathing pattern 10 min after the surgery in the operating room. Two years later, opioid-free anesthesia with 2–5% sevoflurane and 33% nitrous oxide in oxygen was again performed safely for tube insertion into both eardrums. Conclusion Opioid-free anesthesia with adequate non-narcotic analgesics is safe for children with trisomy 13 with multiple apnea-related comorbidities. |
| Databáze: | OpenAIRE |
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