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Published on: October 23, 2018
Respiratory complications during anaesthesia in Apert syndrome
T Elwood1, P V Sarathy, J M Geiduschek
1Department of Anesthesiology, University of Washington School of Medicine, WA 98105-0371, USA. telwoo@chmc.org
Background:
Clinical experience with anaesthesia for a series of patients with Apert syndrome (craniosynostosis, midface hypoplasia and syndactyly) has not been reported previously.
Methods:
In this review, 10 years of experience was examined at our hospital. There were 145 anaesthetics administered to 18 individuals.
Results:
There were 16 complications (15 were perioperative wheezing) which occurred in seven patients. In four cases, surgery was cancelled due to intractable wheezing.
Conclusions:
We could not demonstrate any benefit from preoperative administration of nebulized albuterol. Paediatric anaesthetists should be aware of this high incidence of respiratory complications in Apert syndrome.
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