Anesthetic Management of Patients With Kartagener Syndrome: A Systematic Review of 99 Cases

Cheng, Lijun; Dong, Yue; Liu, Shiqing

doi:10.1053/j.jvca.2023.01.033

Cited by 2 publications

(3 citation statements)

References 17 publications

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“…Respiratory function should be optimized prior to surgery. While regional anesthesia methods might be ideal in some cases, general anesthesia is most common in PCD patients, particularly due to the frequent necessity of addressing thoracic and otolaryngological issues surgically[ 11 ]. When general anesthesia is considered, it is important to be aware of potential complications in this population, including anesthesia-related pulmonary aspiration, which can lead to pneumonia and respiratory infections.…”

Section: Discussionmentioning

confidence: 99%

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Regional anesthesia in a patient with primary ciliary dyskinesia: A case report

Park,

Kim,

Yoon

et al. 2024

World J Clin Cases

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BACKGROUND Primary ciliary dyskinesia (PCD) is an inherited autosomal-recessive disorder of impaired mucociliary clearance characterized by chronic respiratory diseases, otolaryngological diseases, central nervous system abnormalities, reproductive system abnormalities, and cardiac function abnormalities. General anesthesia in these patients is associated with a higher incidence of respiratory complications than in patients without the disease. CASE SUMMARY A 16-year-old male patient was referred to the emergency room complaining of right ankle pain due to distal tibiofibular fracture. Three years prior, he had been diagnosed with PCD. At that time, he had experienced several episodes of pneumonia, sinusitis, and chronic middle ear infections, for which he underwent surgical interventions. At the current admission, he presented with cough and sputum but no other respiratory symptoms. A chest computed tomography scan revealed centrilobular ground-glass opacities in both lower lobes and a calcified nodule in the left lower lobe. For the surgical procedure and postoperative pain management, combined spinal-epidural anesthesia was employed. The patient’s postoperative pain score was measured by the numerical rating scale (NRS). On the day of surgery, his NRS was 5 points. By the second postoperative day, the NRS score had decreased to 2–3 points. The epidural catheter was removed on the fourth day following the operation. The patient was subsequently discharged no respiratory complications. CONCLUSION We performed combined spinal-epidural anesthesia in a patient with PCD. The patient experienced no additional respiratory complications and was discharged with a low NRS score for pain.

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Section: Discussionmentioning

confidence: 99%

“…Cheng et al [ 11 ] reported 99 cases of PCD, 85.4% of those patients was performed by general anesthesia and 14.6% of cases was performed by regional anesthesia. The intraoperative process was uneventful in most patients, and most patients recovered smoothly in postoperative course.…”

Section: Discussionmentioning

confidence: 99%

Regional anesthesia in a patient with primary ciliary dyskinesia: A case report

Park,

Kim,

Yoon

et al. 2024

World J Clin Cases

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“…Due to the fertility problems in Kartagener's syndrome, a cesarean section is a very rare situation for anesthesiologists. In a recent published review of 99 cases, only two were in obstetric patients [3] .…”

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confidence: 99%