Anaesthesia for emergency ventriculo-peritoneal shunt in an adolescent with Noonan's syndrome

A 15-year-old boy with Noonan's syndrome was admitted for emergency ventriculo-peritoneal shunt. Intraoperative course was complicated by hypertensive urgency, which was effectively managed with high doses of esmolol (500 μg/kg/min). Difficult airway was anticipated due to presence of webbed ne...

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Detalles Bibliográficos
Autores principales: Samra, Tanvir, Banerjee, Neerja
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Medknow Publications & Media Pvt Ltd 2014
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4155292/
https://www.ncbi.nlm.nih.gov/pubmed/25197115
http://dx.doi.org/10.4103/0019-5049.138991
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author Samra, Tanvir
Banerjee, Neerja
author_facet Samra, Tanvir
Banerjee, Neerja
author_sort Samra, Tanvir
collection PubMed
description A 15-year-old boy with Noonan's syndrome was admitted for emergency ventriculo-peritoneal shunt. Intraoperative course was complicated by hypertensive urgency, which was effectively managed with high doses of esmolol (500 μg/kg/min). Difficult airway was anticipated due to presence of webbed neck and facial dysmorphism. Tracheal intubation was however successfully accomplished with the aid of a bougie. This report thus highlights the unique anaesthetic problems encountered during anaesthetic management of such a case, which is worth sharing.
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spelling pubmed-41552922014-09-05 Anaesthesia for emergency ventriculo-peritoneal shunt in an adolescent with Noonan's syndrome Samra, Tanvir Banerjee, Neerja Indian J Anaesth Case Report A 15-year-old boy with Noonan's syndrome was admitted for emergency ventriculo-peritoneal shunt. Intraoperative course was complicated by hypertensive urgency, which was effectively managed with high doses of esmolol (500 μg/kg/min). Difficult airway was anticipated due to presence of webbed neck and facial dysmorphism. Tracheal intubation was however successfully accomplished with the aid of a bougie. This report thus highlights the unique anaesthetic problems encountered during anaesthetic management of such a case, which is worth sharing. Medknow Publications & Media Pvt Ltd 2014 /pmc/articles/PMC4155292/ /pubmed/25197115 http://dx.doi.org/10.4103/0019-5049.138991 Text en Copyright: © Indian Journal of Anaesthesia http://creativecommons.org/licenses/by-nc-sa/3.0 This is an open-access article distributed under the terms of the Creative Commons Attribution-Noncommercial-Share Alike 3.0 Unported, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Samra, Tanvir
Banerjee, Neerja
Anaesthesia for emergency ventriculo-peritoneal shunt in an adolescent with Noonan's syndrome
title Anaesthesia for emergency ventriculo-peritoneal shunt in an adolescent with Noonan's syndrome
title_full Anaesthesia for emergency ventriculo-peritoneal shunt in an adolescent with Noonan's syndrome
title_fullStr Anaesthesia for emergency ventriculo-peritoneal shunt in an adolescent with Noonan's syndrome
title_full_unstemmed Anaesthesia for emergency ventriculo-peritoneal shunt in an adolescent with Noonan's syndrome
title_short Anaesthesia for emergency ventriculo-peritoneal shunt in an adolescent with Noonan's syndrome
title_sort anaesthesia for emergency ventriculo-peritoneal shunt in an adolescent with noonan's syndrome
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4155292/
https://www.ncbi.nlm.nih.gov/pubmed/25197115
http://dx.doi.org/10.4103/0019-5049.138991
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AT banerjeeneerja anaesthesiaforemergencyventriculoperitonealshuntinanadolescentwithnoonanssyndrome

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