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The Anesthetic Challenges of Caring for a Pediatric Patient With Incontinentia Pigmenti: A Case Report

Incontinentia pigmenti (IP) is a rare X-linked dominant disorder. We present a case of an infant with IP who was brought to the operating room for panretinal diode photocoagulation under general anesthesia. The anesthesia team was unable to obtain intravenous access even with instruments such as a v...

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Autores principales: Baig, Shabaaz M., Pandya Shah, Shridevi
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Lippincott Williams & Wilkins 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7846286/
https://www.ncbi.nlm.nih.gov/pubmed/33986197
http://dx.doi.org/10.1213/XAA.0000000000001384
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author Baig, Shabaaz M.
Pandya Shah, Shridevi
author_facet Baig, Shabaaz M.
Pandya Shah, Shridevi
author_sort Baig, Shabaaz M.
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description Incontinentia pigmenti (IP) is a rare X-linked dominant disorder. We present a case of an infant with IP who was brought to the operating room for panretinal diode photocoagulation under general anesthesia. The anesthesia team was unable to obtain intravenous access even with instruments such as a vein finder and ultrasound. Anesthesia for IP patients also poses challenges such as prevention of the oculocardiac reflex, obesity and airway management, and preemptive measures for intravenous access due to skin manifestations. Patients with IP may present with many challenges for the anesthesiologist during all phases of anesthetic management.
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spelling pubmed-78462862021-02-02 The Anesthetic Challenges of Caring for a Pediatric Patient With Incontinentia Pigmenti: A Case Report Baig, Shabaaz M. Pandya Shah, Shridevi A A Pract Case Report Incontinentia pigmenti (IP) is a rare X-linked dominant disorder. We present a case of an infant with IP who was brought to the operating room for panretinal diode photocoagulation under general anesthesia. The anesthesia team was unable to obtain intravenous access even with instruments such as a vein finder and ultrasound. Anesthesia for IP patients also poses challenges such as prevention of the oculocardiac reflex, obesity and airway management, and preemptive measures for intravenous access due to skin manifestations. Patients with IP may present with many challenges for the anesthesiologist during all phases of anesthetic management. Lippincott Williams & Wilkins 2021-01-19 /pmc/articles/PMC7846286/ /pubmed/33986197 http://dx.doi.org/10.1213/XAA.0000000000001384 Text en Copyright © 2021 International Anesthesia Research Society This is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial-No Derivatives License 4.0 (CCBY-NC-ND) (http://creativecommons.org/licenses/by-nc-nd/4.0/) , where it is permissible to download and share the work provided it is properly cited. The work cannot be changed in any way or used commercially without permission from the journal.
spellingShingle Case Report
Baig, Shabaaz M.
Pandya Shah, Shridevi
The Anesthetic Challenges of Caring for a Pediatric Patient With Incontinentia Pigmenti: A Case Report
title The Anesthetic Challenges of Caring for a Pediatric Patient With Incontinentia Pigmenti: A Case Report
title_full The Anesthetic Challenges of Caring for a Pediatric Patient With Incontinentia Pigmenti: A Case Report
title_fullStr The Anesthetic Challenges of Caring for a Pediatric Patient With Incontinentia Pigmenti: A Case Report
title_full_unstemmed The Anesthetic Challenges of Caring for a Pediatric Patient With Incontinentia Pigmenti: A Case Report
title_short The Anesthetic Challenges of Caring for a Pediatric Patient With Incontinentia Pigmenti: A Case Report
title_sort anesthetic challenges of caring for a pediatric patient with incontinentia pigmenti: a case report
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7846286/
https://www.ncbi.nlm.nih.gov/pubmed/33986197
http://dx.doi.org/10.1213/XAA.0000000000001384
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