Anaesthesia for patients with trisomy 13 (Patau's syndrome)
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Published on: June 2, 2022
1Department of Anaesthesia, Children's Hospital, Birmingham, UK.
Insights
Patau's syndrome (Trisomy 13) is a severe condition. This report details anesthesia for two children with Trisomy 13 undergoing cleft lip and palate repair, highlighting rare surgical cases.
Area of Science:
- Pediatric Anesthesiology
- Medical Genetics
- Surgical Neonatology
Background:
- Patau's syndrome (Trisomy 13) is a rare chromosomal disorder with a high mortality rate, typically within the first six months of life.
- Surgical interventions for survivors are infrequent due to the condition's severity and limited long-term prognosis.
- Anesthetic and surgical case reports for Patau's syndrome are exceptionally rare in medical literature.
Observation:
- This study presents two pediatric cases of Patau's syndrome requiring surgical intervention.
- The cases involved anesthesia management for corrective surgery of cleft lip and palate defects.
- The department managed the anesthetic care for these two specific patients.
Findings:
- Successful anesthesia was administered for cleft lip and palate repair in two children diagnosed with Patau's syndrome.
- The report documents the anesthetic procedures and considerations for these rare surgical cases.
- This contributes to the limited existing literature on surgical management in Trisomy 13 survivors.
Implications:
- Highlights the feasibility of surgical correction, such as cleft lip and palate repair, in select Trisomy 13 patients.
- Provides valuable insights for anesthesiologists and surgical teams managing rare pediatric genetic disorders.
- Emphasizes the importance of individualized care and risk assessment in Patau's syndrome cases requiring medical or surgical intervention.
Abstract:
Patau's syndrome (Trisomy 13) is usually fatal within the first six months of life. For the few survivors, corrective surgery is only undertaken if the child has a reasonable chance of living for some time. Hence the reports of anaesthesia and surgery in the literature are rare. We describe the anaesthesia for a repair of cleft lip and palate on two children who presented to our department.
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