Anesthetic management in a patient with osteogenesis imperfecta for rush nail removal in femur

Gupta, Divanshu; Purohit, Alaka

doi:10.4103/0259-1162.184612

Cited by 8 publications

(6 citation statements)

References 3 publications

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“…Our second patient highlights another benefit of spinal anesthesia as he required no postoperative analgesic or sedation medications, and therefore was discharged rapidly from the PACU to the phase two recovery area. Previous reports of the use of spinal anesthesia in MH susceptible adult patients are outlined in Table 1 [17][18][19][20][21][22][23]. Adverse effects were rare with hypotension noted in one parturient and respiratory difficulties in another patient related to a high spinal block (T3) and the concomitant administration of dantrolene.…”

Section: Discussionmentioning

confidence: 99%

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Spinal Instead of General Anesthesia for Two Pediatric Patients at Risk for Malignant Hyperthermia

et al. 2017

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Although commonly practiced in the adult population, the use of spinal anesthesia has been limited in infants and children. Historically, it was employed as a means of avoiding apnea following general anesthesia or avoiding the need for endotracheal intubation. More recently, there has been resurgence in the use of spinal anesthesia due to concerns that general anesthetic agents may exert neurotoxic effects and impact future neurocognitive function. More broadly, spinal anesthesia may also have applications in patients with co-morbid conditions that increase the risk of general anesthesia. We present the use of spinal anesthesia as a means of avoiding general anesthesia in two infants with family histories of malignant hyperthermia.

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Section: Discussionmentioning

confidence: 99%

“…Purohit [23] Adolescent female with osteogenesis imperfecta, considered at risk for MH, presenting for femoral nail removal.…”

Section: Gupta Andmentioning

confidence: 99%

Spinal Instead of General Anesthesia for Two Pediatric Patients at Risk for Malignant Hyperthermia

et al. 2017

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“…In those with cervical spine instability, intubation for anesthesia has been performed under fiber-optic control 64 . Although spinal anesthetic is an alternative that has been utilized, substantial kyphoscoliosis deformity may make this option impractical 69 .…”

Section: Occipitocervical Instabilitymentioning

confidence: 99%

Total Hip Replacements in Patients with Rare Pathologic Conditions Affecting Bone

Sepehri

Sidhu

Masri

2021

Journal of Bone and Joint Surgery

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ä As a result of the advances in surgical technique and implant design, total hip arthroplasty (THA) is increasingly offered for the management of osteoarthritis of the hip in patients with fragile or pathologic bone.ä Posttraumatic or congenital deformities associated with fragile or pathologic bone are frequently encountered and necessitate diligent preoperative planning.ä Surgeons should be prepared to evaluate and manage intraoperative iatrogenic fracture.ä While there is limited evidence to date, components made with computer-assisted design can be considered, given the unique and highly variable patient population.Disclosure: The authors indicated that no external funding was received for any aspect of this work. On the Disclosure of Potential Conflicts of Interest forms, which are provided with the online version of the article, one or more of the authors checked "yes" to indicate that the author had a relevant financial relationship in the biomedical arena outside the submitted work (http://links.lww.com/JBJS/G443).

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“…Anesthesiologists need to be aware of the potential complications and tailor their approach to ensure the safety and well-being of the patient. 4,6 This may involve specialized techniques and equipment to address the unique characteristics of OI patients during surgical procedures. The patient was classified as American Society of Anesthesiologists Grade II with OI type IV and thoracic levoscoliosis as the actual problems.…”

Section: Introductionmentioning

confidence: 99%

Management of Anesthesia in Patient with Osteogenesis Imperfecta Type IV and Fractures on Tibia and Fibula: A Case Report

Kenzi,

Otniel Adrians Labobar

2023

Bioscmed

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Background: Osteogenesis imperfecta (OI), known as brittle bone disease, is a rare inherited and genetic skeletal disorder characterized by a significantly heightened risk of fragility fractures. About 1 in 15 to 20.000 births are affected with OI. these defects may moreover be combined with an airway that's troublesome to oversee, platelet dysfunctions, and other issues. The perioperative administration of anesthesia speaks to a significant challenge. Subsequently, it is critical to be able to anticipate the dangers during the perioperative period and to define and actualize particular high-quality anesthesia administration plans for such patients when they involve injury. Case presentation: We present a case of a female patient 26 years old with known OI type IV who underwent Osteotomy and Open Reduction Internal Fixation with plate and screw (ORIF PS) on her left Tibia and Fibula. In this case, we present the anesthesia technique with general anesthesia using a metal wire-enforced endotracheal tube to prevent partial obstruction due to kyphoscoliosis. Conclusion: It is crucial to assess the severity of the disease, identify risk factors in advance, and optimize the preoperative health status of individuals with OI.

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Anesthetic management in a patient with osteogenesis imperfecta for rush nail removal in femur

Cited by 8 publications

References 3 publications

Spinal Instead of General Anesthesia for Two Pediatric Patients at Risk for Malignant Hyperthermia

Spinal Instead of General Anesthesia for Two Pediatric Patients at Risk for Malignant Hyperthermia

Total Hip Replacements in Patients with Rare Pathologic Conditions Affecting Bone

Management of Anesthesia in Patient with Osteogenesis Imperfecta Type IV and Fractures on Tibia and Fibula: A Case Report

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