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1.
Artículo en Inglés | WPRIM (Pacífico Occidental) | ID: wpr-145725

RESUMEN

Sotos syndrome is a rare sporadic genetic disorder characterized by pathognomonic facial features, motor developmental delay induced by hypotonia, learning difficulties, and cardiac and renal anomalies. This report describes the case of a 4-year-old child with Sotos syndrome who underwent a right hydrocelectomy under general anesthesia. We report our experience with airway management, choice of anesthetic drugs, and other anesthetic implications in Sotos syndrome.


Asunto(s)
Niño , Preescolar , Humanos , Manejo de la Vía Aérea , Anestesia General , Anestésicos , Aprendizaje , Hipotonía Muscular , Bloqueo Neuromuscular , Síndrome de Sotos
2.
Artículo en Inglés | WPRIM (Pacífico Occidental) | ID: wpr-52956

RESUMEN

Because of insufficient number of donor hearts for cardiac transplantation, the use of implantable left ventricular assist device (LVAD) has been increasing as an alternative. During this procedure, the fundamental role of anesthesiologists would be to maintain stable hemodynamics. This report describes the anesthetic case of a 75-year-old man who underwent implantable LVAD placement as a destination therapy of his heart failure in Korea. The procedure and anesthesia were uneventful with transesophageal echocariographic guide. He moved to the ward on postoperative day 10 without fatal complication.


Asunto(s)
Anciano , Humanos , Anestesia , Ecocardiografía Transesofágica , Corazón , Insuficiencia Cardíaca , Trasplante de Corazón , Corazón Auxiliar , Hemodinámica , Corea (Geográfico) , Donantes de Tejidos
4.
Artículo en Inglés | WPRIM (Pacífico Occidental) | ID: wpr-224374

RESUMEN

Pregnancy is considered a period of high risk for cardiovascular complications in patients with Marfan syndrome. Therefore the choice of anesthetic technique for delivery should be focused on minimizing hemodynamic fluctuations, and preferably provide adequate post-operative pain control. For this purpose, neuraxial blocks, such as spinal or epidural anesthesia, may be deemed a safe option. However, dural ectasia is present in 63-92% of patients with Marfan syndrome, and the increased amount of cerebrospinal fluid volume is thought to be one of main reasons for spinal anesthesia failure. We report herein the peri-operative management of a patient with Marfan syndrome and dural ectasia for cesarean section using epidural anesthesia.


Asunto(s)
Femenino , Humanos , Embarazo , Anestesia Epidural , Anestesia Raquidea , Cesárea , Dilatación Patológica , Hemodinámica , Síndrome de Marfan
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