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Anesthetic management of a Rett syndrome patient with apnea and epilepsy: a case report
Rett syndrome, which is a progressive, central nervous system disease that is caused by a gene mutation, is known to present with various symptoms. This case is that of a 15-year-old girl who was diagnosed with Rett syndrome at the age of 2 years. Laryngotracheal isolation under general anesthesia w...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Springer Berlin Heidelberg
2018
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6967320/ https://www.ncbi.nlm.nih.gov/pubmed/32026952 http://dx.doi.org/10.1186/s40981-018-0169-y |
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author | Motomura, Yuka Idei, Masafumi Sato, Hitoshi Goto, Takahisa |
author_facet | Motomura, Yuka Idei, Masafumi Sato, Hitoshi Goto, Takahisa |
author_sort | Motomura, Yuka |
collection | PubMed |
description | Rett syndrome, which is a progressive, central nervous system disease that is caused by a gene mutation, is known to present with various symptoms. This case is that of a 15-year-old girl who was diagnosed with Rett syndrome at the age of 2 years. Laryngotracheal isolation under general anesthesia was planned due to recurrent aspiration pneumonia. Since the patient’s nutritional status and control of convulsions were good, this was deemed an appropriate time for the surgery. Following careful preoperative evaluation of her airway, we performed oral endotracheal intubation using a video laryngoscope after rapid induction. Since postoperative pain control was important to prevent apneic attacks and convulsions, we used a multimodal analgesic regimen including carefully titrated fentanyl, acetaminophen, nonsteroidal anti-inflammatory drug, and wound infiltration with a local anesthetic. Postoperatively, the patient returned to the intensive care unit under spontaneous ventilation and followed a good course. Patients with Rett syndrome present several symptoms. Thus, several points must be considered during the preoperative evaluation, anesthetic management, and postoperative care of these patients. |
format | Online Article Text |
id | pubmed-6967320 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2018 |
publisher | Springer Berlin Heidelberg |
record_format | MEDLINE/PubMed |
spelling | pubmed-69673202020-02-04 Anesthetic management of a Rett syndrome patient with apnea and epilepsy: a case report Motomura, Yuka Idei, Masafumi Sato, Hitoshi Goto, Takahisa JA Clin Rep Case Report Rett syndrome, which is a progressive, central nervous system disease that is caused by a gene mutation, is known to present with various symptoms. This case is that of a 15-year-old girl who was diagnosed with Rett syndrome at the age of 2 years. Laryngotracheal isolation under general anesthesia was planned due to recurrent aspiration pneumonia. Since the patient’s nutritional status and control of convulsions were good, this was deemed an appropriate time for the surgery. Following careful preoperative evaluation of her airway, we performed oral endotracheal intubation using a video laryngoscope after rapid induction. Since postoperative pain control was important to prevent apneic attacks and convulsions, we used a multimodal analgesic regimen including carefully titrated fentanyl, acetaminophen, nonsteroidal anti-inflammatory drug, and wound infiltration with a local anesthetic. Postoperatively, the patient returned to the intensive care unit under spontaneous ventilation and followed a good course. Patients with Rett syndrome present several symptoms. Thus, several points must be considered during the preoperative evaluation, anesthetic management, and postoperative care of these patients. Springer Berlin Heidelberg 2018-04-18 /pmc/articles/PMC6967320/ /pubmed/32026952 http://dx.doi.org/10.1186/s40981-018-0169-y Text en © The Author(s) 2018 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. |
spellingShingle | Case Report Motomura, Yuka Idei, Masafumi Sato, Hitoshi Goto, Takahisa Anesthetic management of a Rett syndrome patient with apnea and epilepsy: a case report |
title | Anesthetic management of a Rett syndrome patient with apnea and epilepsy: a case report |
title_full | Anesthetic management of a Rett syndrome patient with apnea and epilepsy: a case report |
title_fullStr | Anesthetic management of a Rett syndrome patient with apnea and epilepsy: a case report |
title_full_unstemmed | Anesthetic management of a Rett syndrome patient with apnea and epilepsy: a case report |
title_short | Anesthetic management of a Rett syndrome patient with apnea and epilepsy: a case report |
title_sort | anesthetic management of a rett syndrome patient with apnea and epilepsy: a case report |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6967320/ https://www.ncbi.nlm.nih.gov/pubmed/32026952 http://dx.doi.org/10.1186/s40981-018-0169-y |
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