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Anesthesia experience in an adult Silver-Russell syndrome: a case report
Akinobu Hibino1, Ayaka Hibino2, Yoshinori Kamiya3
1Department of Anesthesiology, Shibata Hospital Niigata Prefectural Hospital, 1-2-8 Honcho, Shibata City, Niigata 957-8588, Japan. ruroninn@hotmail.com.
Background:
There are no reports of anesthesia use in adult patients with Silver-Russell syndrome (SRS). Here, we report our experience with anesthesia in an adult patient with SRS complicated by chronic respiratory failure.
Case Presentation:
A 33-year-old woman was clinically diagnosed with SRS. She had severe chronic respiratory failure, complicated by superior mesenteric artery syndrome. Percutaneous gastrostomy was scheduled for nutritional management under epidural anesthesia; however, soon after esophagogastroduodenoscopy was started, she lost consciousness and spontaneous respiration. The patient was urgently intubated and converted to general anesthesia. The end-tidal carbon dioxide tension was > 90 mmHg at intubation.
Conclusions:
Adult SRS patients with chronic respiratory failure have a risk of CO2 narcosis. SRS also requires preparation for difficult airway management during the perioperative period.
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