Anesthetic Management of a Child With Jeune Syndrome for Tracheotomy: A Case Report
| Autor: | Katsumi Okuyama, Takashi Matsukawa, Masakazu Kotoda, Tadahiko Ishiyama |
|---|---|
| Rok vydání: | 2017 |
| Předmět: |
Male
medicine.medical_specialty Respiratory rate Ellis-Van Creveld Syndrome medicine.medical_treatment Anesthesia General 03 medical and health sciences 0302 clinical medicine Functional residual capacity Tracheotomy Skeletal disorder 030202 anesthesiology medicine Humans Continuous positive airway pressure Tidal volume Oxygen saturation (medicine) Continuous Positive Airway Pressure business.industry Oxygen Inhalation Therapy Infant 030208 emergency & critical care medicine General Medicine Surgery Anesthesia Breathing Radiography Thoracic business |
| Zdroj: | AA case reports. 8(5) |
| ISSN: | 2325-7237 |
| Popis: | Jeune syndrome is a rare autosomal-recessive skeletal disorder. Anesthetic management of these patients is often difficult because of thoracic and lung hypoplasia. A 5-month-old boy with Jeune syndrome was scheduled to undergo a tracheotomy. Despite 5-minute preoxygenation with continuous positive airway pressure, the patient's oxygen saturation rapidly dropped during the induction of anesthesia. The continuous positive airway pressure should have been titrated to effective tidal volume during preoxygenation to recruit the patient's functional residual capacity and to prevent desaturation. During tracheotomy, volume-controlled ventilation with a high respiratory rate and sufficient inspiratory time effectively improved the patient's respiratory status. |
| Databáze: | OpenAIRE |
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