Abstract | BACKGROUND: METHODS: We conducted a retrospective chart review at 1 institution of patients with FOP who underwent general anesthesia (GA) for dental procedures. RESULTS: Thirty patients underwent 42 general anesthetics. In 35 of 42 cases, GA was induced after the airway was secured by an awake fiberoptic intubation. In 4 of 42 cases, all of them pediatric, GA was first induced with maintenance of spontaneous ventilation, and the trachea was then intubated using a fiberoptic scope. In 2 cases, 1 adult and 1 pediatric, GA was first induced, and the trachea was then intubated using a GlideScope. In 1 case, the patient had a cuffed tracheostomy device in place that was accessed for GA. In 36 of 42 cases, the patients were discharged home on the same day as their dental procedure. No significant postoperative complications were encountered. CONCLUSIONS: GA can be administered safely to patients with FOP for dental procedures with attention to perioperative and airway management using a multidisciplinary approach. An awake nasal fiberoptic intubation should be considered the first choice for airway management. Most patients can be discharged home on the same day as their dental procedure.
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Authors | Elaine Kilmartin, Zvi Grunwald, Frederick S Kaplan, Burton L Nussbaum |
Journal | Anesthesia and analgesia
(Anesth Analg)
Vol. 118
Issue 2
Pg. 298-301
(Feb 2014)
ISSN: 1526-7598 [Electronic] United States |
PMID | 24361843
(Publication Type: Journal Article, Research Support, Non-U.S. Gov't)
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Chemical References |
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Topics |
- Adolescent
- Adrenal Cortex Hormones
(therapeutic use)
- Adult
- Anesthesia, General
(methods)
- Child
- Child, Preschool
- Female
- Fiber Optic Technology
- General Surgery
- Humans
- Intubation
- Male
- Middle Aged
- Mouth Rehabilitation
(methods)
- Myositis Ossificans
(complications, surgery)
- Oral Surgical Procedures
(methods)
- Patient Care Team
- Retrospective Studies
- Tracheostomy
- Young Adult
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