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Spinal anesthesia in a child with Brachmann-de Lange (Cornelia de Lange) syndrome.

Abstract
Providing anesthesia to patients with Brachmann-de Lange syndrome (BdLS) may be challenging, mainly because of intubation difficulty, gastroesophageal reflux disease, and aspiration complications. The use of spinal anesthesia (SA) in this population has not been reported. We report the uneventful administration of awake SA to a 7-month-old girl with BdLS who was scheduled for rectal biopsy. The current literature is reviewed to discuss the indications for SA in those patients.
AuthorsLudmyla Kachko, Elena Sanko, Enrique Freud, Jacob Katz
JournalJournal of anesthesia (J Anesth) Vol. 24 Issue 6 Pg. 942-4 (Dec 2010) ISSN: 1438-8359 [Electronic] Japan
PMID20981456 (Publication Type: Case Reports, Journal Article)
Topics
  • Anesthesia, Spinal
  • Biopsy
  • De Lange Syndrome (surgery)
  • Female
  • Gastroesophageal Reflux (complications)
  • Hirschsprung Disease (diagnosis)
  • Humans
  • Infant
  • Intubation, Intratracheal
  • Lung Diseases (complications)
  • Rectum (pathology)
  • Respiratory Aspiration (complications)

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