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Anesthesia of a patient with congenital cataract,facial dysmorphism,and neuropathy syndrome for posterior scoliosis:A case report

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World Journal of Clinical Cases 2022年第13期10卷 4207-4213页

作者： Jan Hudec martina Kosinova Tereza Prokopova Milan Filipovic martin repko Petr Stourac Department of Anesthesiology and Intensive Care Medicine University Hospital BrnoMedical Faculty of Masaryk UniversityBrno 62500Czech Republic Department of Simulation Medicine Medical Faculty of Masaryk UniversityBrno 62500Czech Republic Department of Pediatric Anesthesiology and Intensive Care Medicine University Hospital BrnoMedical Faculty of Masaryk UniversityBrno 62500Czech Republic Department of Orthopedic Surgery University Hospital BrnoMedical Faculty of Masaryk UniversityBrno 62500Czech Republic

BACKGROUND Congenital cataract,facial dysmorphism,and neuropathy(CCFDN)syndrome is an extremely rare multiorgan *** include congenital cataracts,facial deformation,extremity deformities,and demyelinating *** syndrome is associated with increased risk during anesthesia including rhabdomyolysis or epileptic *** is a lack of published information about difficult airways in these *** airways during intubation represent one of the most dreaded anesthesia complications:A"can not intubate,can not oxygenate"*** herein is the first described successful endotracheal intubation of a CCFDN syndrome *** SUMMARY We report the anesthetic management of a 13-year-old girl with CCFDN syndrome scheduled for posterior neuromuscular scoliosis correction *** patient suffered from extensive progressive neuromuscular scoliosis with a Cobb angle of 83°.Her limitations included neuropathy and a scoliotic *** condition negatively impacted her quality of *** case reflects the potential anesthetic complications for posterior scoliosis correction and CCFDN *** challenge for our anesthetic team was the limited amount of data about anesthetic management of this *** total,one case report without any data about endotracheal intubation of patients with this condition was *** intubation in our case was *** focus of our case was the prevention of possible complications associated with this syndrome,including rhabdomyolysis and *** can be triggered by some types of anesthetic agents like suxamethonium or volatile anesthetics,especially in patients with certain types of *** Adequate understanding of the anesthetic management of CCFDN syndrome can reduce perioperative complications and improve patient outcome after surgery.

关键词： CCFDN syndrome Neuromuscular scoliosis Anesthetic management Total intravenous anesthesia Endotracheal intubation Case report

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