Artrogripozis multipleks konjenitalı bir hastada skolyoz cerrahisi için anestezi
Artrogripozis multipleks konjenita, konjenital multipl eklem kontraktürleri ile karakterize bir hastalıktır. Bu hastalıkzor havayolu, zor intravenöz damaryolu ve malign hipertermi riski taşıdığı için anestezistler için dikkat edilmesigereken bir durumdur. Biz bu makalede, skolyoz cerrahisiiçin anestezi uyguladığımız artrogripozis multipleks konjenitalı bir olgudaki anestezi deneyimimizi sunuyoruz.
Anesthesia for scoliosis surgery in a patient with arthrogryposis multiplex congenita
Arthrogryposis multiplex congenita is a disease which is characterized by congenital multiple joint contractures. This disease with its risks of difficult airway, difficult intravenous access and malign hypethermia attack is a challenging condition for anesthesiologists. In this paper, we report our anesthetic management experience for scoliosis surgery in a case with arthrogryposis multiplex congenita.
___
- 1. Thompson GH, Bilenker RM. Comprehensive management of arthrogryposis multiplex congenita. Clin Orthop 1985;194:6-14.
- 2. Martin S, Tobias JD. Perioperative care of the child with arthrogryposis. Paediatr Anaesth 2006;16:31-37.
- 3. Atım A, İşbir AC, Sağlam A, ve ark. Subglottik halkaya bağlı beklenmeyen zor entübasyon. Dicle Med J 2010;37:64-66.
- 4. Klingler W, Lehmann-Horn F, Jurkat-Rott K. Complications of anaesthesia in neuromuscular disorders. Neuromuscul Disord 2005;15:195-206.
- 5. Quance Dr. Anaesthetic management of an obstetrical patient with arthrogryposis multiplex congenita. Can J Anaesth 1988;35:612-614.
- 6. Baines DB, Douglas ID, Overton JH. Anaesthesia for patients with arthrogryposis multiplex congenita: What is the risk of malignant hyperthermia? Anaesth Intensive Care 1986;14:370-372.
- 7. Hopkins PM, Ellis FR, Halsall PJ. Hypermetabolism in arthrogryposis multiplex congenita. Anaesthesia 1991;46:374-375.
- 8. Ducart A, Adnet P, Renaud B, et al. Malignant hyper- thermia during sevoflurane administration. Anesth Analg 1995;80:609-611.
- 9. Zamudio IA, Brown TCK. Arthrogryposis multiplex con- genita (AMC). A review of 32 years’ experience. Pae- diatr Anaesth 1993;3:101-106.
- 10. Acar HV, Cuvaş O, Ceyhan A, et al. Ketamine-mid- azolam anesthesia for an infant with arthrogryposis multiplex congenita: a case with decreased myocar- dial contractility. J Anesth 2011;25:794-795.