Experience of severe desaturation during anesthetic induction period in an obese adult patient with Prader-Willi syndrome: A case report / 대한마취과학회지

Prader-Willi syndrome is characterized by infantile hypotonia, childhood-onset obesity, short stature, mental retardation, hyperphagia, hypogonadism. After infantile hypotonia phase, patient is prone to morbid obesity due to hyperphagia. Complications associated with morbid obesity are recognized as the main risk factors for death the lifespan of patients with Prader-Willi syndrome. We experienced desaturation and bronchospasm during arteriovenous fistula surgery in an obese adult with Prader-Willi syndrome.

Aspiration pneumonitis in achalasia patient treated by per oral endoscopic myotomy: A case report

Achalasia is a rare motor disorder of the esophagus, characterized by the absence of peristalsis and impaired lower esophagus sphincter relaxation. The exact etiology remains unclear. Stasis of ingested food in esophagus lead to clinical symptoms such as dysphagia, regurgitation, retrosternal pain and weight loss. We report a case of regurgitation during general anesthesia in thyroid cancer patient with achalasia of esophagus. Despite having per oral endoscopic myotomy 6 months ago, the patient presented regurgitation and aspiration pneumonitis. The patient recovered after a week of antibiotics therapy.