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Anesthetic considerations for rapid-onset obesity, hypoventilation, hypothalamic dysfunction, and autonomic
Arvind Chandrakantan1, Thomas J Poulton
1Department of Anesthesiology & Pediatrics, Stony Brook University Medical Center, Stony Brook Children's Hospital, Stony Brook, NY, USA. arvind.chandrakantan@stonybrookmedicine.edu
Paediatric Anaesthesia
|August 7, 2012
Summary
Rapid-onset obesity, hypoventilation, hypothalamic dysfunction, and autonomic dysfunction (ROHHAD) is a complex condition diagnosed in children. This review covers two patient cases and discusses anesthetic considerations for ROHHAD management.
Area of Science:
- Pediatric Endocrinology
- Pediatric Neurology
- Anesthesiology
Background:
- Rapid-onset obesity, hypoventilation, hypothalamic dysfunction, and autonomic dysfunction (ROHHAD) is an emerging diagnosis in pediatric tertiary care.
- Understanding the pathophysiology and clinical presentation of ROHHAD is crucial for timely diagnosis and management.
Observation:
- Presents two pediatric cases highlighting the clinical course of ROHHAD.
- Details the diagnostic challenges and multidisciplinary approach required for these complex patients.
Findings:
- Comprehensive review of the disorder, focusing on its key features: obesity, hypoventilation, and autonomic/hypothalamic dysfunction.
- Analysis of anesthetic implications, identifying potential risks and management strategies.
Implications:
- Informs clinicians about the anesthetic management of pediatric patients with ROHHAD.
- Highlights the need for specialized care and further research into this rare condition.
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