Anaesthetic Considerations in Facial Reconstruction for Down'S Syndrome
1988; SAGE Publishing; Volume: 81; Issue: 1 Linguagem: Inglês
10.1177/014107688808100111
ISSN1758-1095
AutoresBenzion Beilin, Avishag Kadari, Yehuda Shapira, David L. Shulman, J. T. Davidson,
Tópico(s)Anesthesia and Sedative Agents
ResumoSixty-three patients with Down's syndrome underwent facial reconstructive surgery under general anaesthesia in order to improve their acceptability and potential for functioning effectively in society. Preoperatively, one-third of the patients had respiratory illnesses, 11 (17.5%) had cardiac anomalies, and 5 (7.9%) had endocrinological abnormalities. Anaesthesia was based on spontaneous ventilation of halothane and N 2 O in oxygen via an endotracheal tube with appropriate monitoring. Only one patient had an intraoperative complication, an episode of ventricular dysrhythmia, but postoperatively 9 patients required nasopharyngeal airways or endotracheal intubation in order to maintain a patent upper airway. The anaesthetic considerations for facial reconstructive surgery in Down's syndrome are discussed.
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