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Anesthetic management of a patient with 15q tetrasomy for dental treatment / Manejo anestésico de paciente com tetrassomia 15q para tratamento odontológico
Hase, Yuri; Kemekura, Nobuhito; Nitta, Yukie; Fujisawa, Toshiaki.
  • Hase, Yuri; Hokkaido University. Graduate School of Dental Medicine. Department of Dental Anesthesiology. Sapporo. JP
  • Kemekura, Nobuhito; Hokkaido University. Graduate School of Dental Medicine. Department of Dental Anesthesiology. Sapporo. JP
  • Nitta, Yukie; Hokkaido University. Graduate School of Dental Medicine. Department of Dental Anesthesiology. Sapporo. JP
  • Fujisawa, Toshiaki; Hokkaido University. Graduate School of Dental Medicine. Department of Dental Anesthesiology. Sapporo. JP
Rev. bras. anestesiol ; 68(4): 392-395, July-Aug. 2018.
Article Dans Anglais | LILACS | ID: biblio-958316
ABSTRACT
Abstract Background and objectives 15q tetrasomy is a chromosomal abnormality that is a part of the heterogeneous group of extra structurally abnormal chromosomes. This syndrome is characterized by epilepsy, central hypotonia, developmental delay and intellectual disability, and autistic behavior. This is the first report of the anesthetic management of a patient with this syndrome. Case report We administered general anesthesia for dental treatment in a patient with 15q tetrasomy. Conclusions Appropriate planning for the prevention of complications such as seizures and hypotonia, and for delayed emergence from anesthesia, is required. Specifically, choosing short-acting drugs that do not induce seizures, together with suitable monitoring, resulted in successful anesthetic management of the patient with 15q tetrasomy.
RESUMO
Resumo Justificativa e objetivos Tetrassomia 15q é uma anomalia cromossômica que faz parte do grupo heterogêneo de cromossomos extras, estruturalmente anormais. Essa síndrome é caracterizada por epilepsia, hipotonia central, atraso no desenvolvimento e deficiência intelectual e comportamento autista. Este é o primeiro relato do manejo anestésico de um paciente com essa síndrome. Relato de caso Administramos anestesia geral para tratamento odontológico em um paciente com tetrassomia 15q. Conclusões Um planejamento adequado para prevenir complicações como convulsões e hipotonia e para emergência tardia da anestesia é necessário. O manejo anestésico bem-sucedido do paciente com tetrassomia 15q foi o resultado específico da escolha de fármacos de curta duração que não induzem convulsões e monitoração adequada.
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Texte intégral: Disponible Indice: LILAS (Amériques) Sujet Principal: Soins dentaires / Tétrasomie / Anesthésie générale Limites du sujet: Adulte / Humains / Mâle langue: Anglais Texte intégral: Rev. bras. anestesiol Thème du journal: Anesthésiologie Année: 2018 Type: Article Pays d'affiliation: Japon Institution/Pays d'affiliation: Hokkaido University/JP

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Texte intégral: Disponible Indice: LILAS (Amériques) Sujet Principal: Soins dentaires / Tétrasomie / Anesthésie générale Limites du sujet: Adulte / Humains / Mâle langue: Anglais Texte intégral: Rev. bras. anestesiol Thème du journal: Anesthésiologie Année: 2018 Type: Article Pays d'affiliation: Japon Institution/Pays d'affiliation: Hokkaido University/JP