Dealing a Neonate with CHARGE Syndrome:Anaesthesia perspective of perioperative care

Khalid Maudood Siddiqui1, Muhammad Ali Asghar2, Amjad Nadeem3

  • 1Dr. Khalid Maudood Siddiqui, FCPS. Department of Anaesthesia, Aga Khan University Hospital Karachi, Pakistan.

Insights

CHARGE syndrome, a complex disorder affecting multiple body areas, presents unique challenges. This case report details a neonate

Area of Science:

  • Genetics and Developmental Biology
  • Pediatric Surgery
  • Clinical Case Reports

Background:

  • CHARGE syndrome is a rare genetic disorder characterized by multiple congenital anomalies.
  • Key features include coloboma, heart defects, atresia choanae, growth and genital abnormalities, and ear abnormalities.
  • The presentation and severity of CHARGE syndrome vary significantly among affected individuals.

Observation:

  • This report focuses on a neonate diagnosed with CHARGE syndrome.
  • The neonate presented with choanal atresia, a significant airway obstruction.
  • Management involved surgical intervention under general anesthesia with invasive monitoring.

Findings:

  • Successful surgical repair of choanal atresia was performed in the neonate with CHARGE syndrome.
  • The procedure utilized general anesthesia and invasive monitoring, crucial for managing complex pediatric cases.
  • This highlights the feasibility of surgical correction for specific CHARGE syndrome manifestations.

Implications:

  • Successful surgical intervention for choanal atresia can improve outcomes for neonates with CHARGE syndrome.
  • This case underscores the importance of multidisciplinary care and advanced monitoring in managing complex congenital conditions.
  • Further research into surgical techniques and long-term outcomes for CHARGE syndrome patients is warranted.

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