Outpatient Anesthesia for Oral Surgery in a Juvenile With Leigh Disease

Ellis, Zachary; Bloomer, Charles R

doi:10.2344/0003-3006(2005)52[70:oafosi]2.0.co;2

Cited by 4 publications

(3 citation statements)

References 12 publications

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“…Because of the wide range in phenotypic variability, a careful history and examination are needed to determine the appropriate anesthetic route for individualized care 59 . Overall, regional anesthesia may be beneficial by providing alternative pain relief options and reducing anesthetic requirements 44,51,54‐56 …”

Section: Mitochondrial Diseasementioning

confidence: 99%

“…Despite several cases reports documenting prolonged weakness in certain subtypes of mitochondrial disease (Kearns-Sayre syndrome), and others cautioning against high neuraxial blockade as it can compromise respiratory function, many others document success with epidurals and caudals. [42][43][44][51][52][53][54][55][56][57][58] Because of the wide range in phenotypic variability, a careful history and examination are needed to determine the appropriate anesthetic route for individualized care. 59 Overall, regional anesthesia may be beneficial by providing alternative pain relief options and reducing anesthetic requirements.…”

Section: Regional Anesthesia and Mitochondrial Diseasementioning

confidence: 99%

“…59 Overall, regional anesthesia may be beneficial by providing alternative pain relief options and reducing anesthetic requirements. 44,51,[54][55][56]…”

Section: Regional Anesthesia and Mitochondrial Diseasementioning

confidence: 99%

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Regional anesthesia in pediatric patients with preexisting neurological disease

Cung

Ritz

Masaracchia

2021

Pediatric Anesthesia

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Preexisting neurological disease in pediatric patients presents unique challenges to the anesthesiologist. In‐depth knowledge of the disease processes and awareness of sequalae that uniquely influence the risks and benefits of anesthetics are needed to make informed decisions. Because these vulnerable populations are often susceptible to perioperative airway or cardiopulmonary complications, the use of regional anesthesia can be advantageous. However, these clinical conditions already involve compromised neural tissue and, as such, create additional concern that regional anesthesia may result in new or worsened deficits. The following discussion is not intended to be a full review of each disease process, but rather provides a concise, yet thorough, discussion of the available literature on regional anesthesia in the more common, but still rare, pediatric neurological disorders. We aim to provide a framework for pediatric anesthesiologists to reengage in a healthy discussion about the risks and benefits of utilizing regional anesthesia in this vulnerable population.

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Section: Mitochondrial Diseasementioning

confidence: 99%