Regional caudal blockade in a pediatric patient affected by the Joubert syndrome

Galante, Dario; Meola, Salvatore; Cinnella, Gilda; Dambrosio, Michele

doi:10.1111/j.1399-6576.2009.01931.x

Cited by 5 publications

(5 citation statements)

References 9 publications

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“…Given their known structural abnormalities of the brainstem, central respiratory control problems, airway hypotonia and swallow dysfunction, they should be considered high risk for anesthesia. In at least 20 individuals reported in the literature, apnea is a common complication, sometimes requiring airway intervention such as intubation or mask airway (Atalay, Soylu, & Tekcan, ; Bhaskar et al, ; Buntenbroich & Dullenkopf, , ; Galante, Meola, Cinnella, & Dambrosio, ; Habre, Sims, & D'Souza, ; Matthews, ; Platis et al, ; Sriganesh et al, ; Sriganesh, Smita, & Aravind, ; Vodopich & Gordon, ). Some authors suggest avoiding sedatives known to be associated with central respiratory depression, and avoiding unnecessary conscious sedation for brief, uncomplicated procedures such as MRI when possible; however, insufficient evidence exists to provide specific guidelines for individuals with JS.…”

Section: Methodsmentioning

confidence: 99%

“…of the brainstem, central respiratory control problems, airway hypotonia and swallow dysfunction, they should be considered high risk for anesthesia. In at least 20 individuals reported in the literature, apnea is a common complication, sometimes requiring airway intervention such as intubation or mask airway (Atalay, Soylu, & Tekcan, 2016;Bhaskar et al, 2013;Buntenbroich & Dullenkopf, 2013a, 2013bGalante, Meola, Cinnella, & Dambrosio, 2009;Habre, Sims, & D'Souza, 1997;Matthews, 1989;Platis et al, 2006;Sriganesh et al, 2014;Sriganesh, Smita, & Aravind, 2010;Vodopich & Gordon, 2004 the absence of abnormalities is not a guarantee that the fetus is unaffected. The decision to pursue or decline alternative reproductive options is very personal, and discussion with a geneticist or genetic counselor may provide an opportunity to explore all available options.…”

Section: Sedation and Anesthesiamentioning

confidence: 99%

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Healthcare recommendations for Joubert syndrome

Bachmann‐Gagescu

Dempsey

Bulgheroni

et al. 2019

American J of Med Genetics Pt A

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Joubert syndrome (JS) is a recessive neurodevelopmental disorder defined by a characteristic cerebellar and brainstem malformation recognizable on axial brain magnetic resonance imaging as the "Molar Tooth Sign". Although defined by the neurological features, JS is associated with clinical features affecting many other organ systems, particularly progressive involvement of the retina, kidney, and liver. JS is a rare condition; therefore, many affected individuals may not have easy access to subspecialty providers familiar with JS (e.g., geneticists, neurologists, developmental pediatricians, ophthalmologists, nephrologists, hepatologists, psychiatrists, therapists, and educators). Expert recommendations can enable practitioners of all types to provide quality care to individuals with JS and know when to refer for subspecialty care. This need will only increase as precision treatments targeting specific genetic causes of JS emerge. The goal of these recommendations is to provide a resource for general practitioners, subspecialists, and families to maximize the health of individuals with JS throughout the lifespan.

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Section: Methodsmentioning

confidence: 99%

Section: Sedation and Anesthesiamentioning

confidence: 99%

Healthcare recommendations for Joubert syndrome

Bachmann‐Gagescu

Dempsey

Bulgheroni

et al. 2019

American J of Med Genetics Pt A

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“…Previous reports have described total intravenous anesthesia with propofol–remifentanil for dental extraction , inhalational anesthesia for dental treatment and suturing and meningocoele repair with frequent perioperative apnea and oxygen desaturation , hernia repair under inhalational anesthesia , combined caudal and general anesthesia for inguinal hernia repair , and dexmedetomidine–remifentanil combination for cardiac surgery . None of the patients described were breathing spontaneously during sedation like in our series.…”

Section: Discussionmentioning

confidence: 50%

Anesthetic management of patients with Joubert syndrome: a retrospective analysis of a single‐institutional case series

Sriganesh

Vinay

Jena

et al. 2014

Pediatric Anesthesia

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“…ultrasound trans versus abdominus plane (TAP) block is used nowadays for paediatric patients together with ultrasound peripheral nerve block within assistance single shot and continuous local anaesthetic infusion. 40,41 Nowadays in operation rooms allergic reactions are very rare. Mostly latex allergies can occur but this can also be prevented by using fewer latex containing items or latex free equipment.…”

Section: Thementioning

confidence: 99%

Anaesthesia Problems in Paediatric Dermatology

Khan¹

2019

jemds

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BACKGROUNDIn paediatric patients, while giving anaesthesia, any complication can occur even in hospitals which have sophisticated equipment and an expert anaesthetist. It is necessary to tell the guardians of paediatric patients about complications and risks due to anaesthesia. It is vital to tell about risks while talking to guardian of paediatric patient who is being operated even for a minor process. It is often noted that parents think that procedure is minor, and the anaesthesia is also a low-level type without risks. Dermatologist/paediatrician must stress on the fact that general anaesthesia is a major procedure even though the treatment they are going to perform is a simple one. When we compare children to adults, the response we receive is different in them because of many factors. For paediatric patient it is important to go for pre-anaesthetic assessment thoroughly, making an allowance for some extra needs because of many factors such as body composition, protein binding capability, temperature, cardiac output and liver/kidney which are functionally immature. It is advised to have written policy in categorizing and designating procedures on elective or emergency basis for diagnostic, therapeutic and operative methods for which anaesthesia is required. Children can cause harm to themselves or healthcare personnel by kicking and flailing as they are frightened and impatient; young children are flexible and can squirm out of grip and potentiate risk of injury.

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Regional caudal blockade in a pediatric patient affected by the Joubert syndrome

Cited by 5 publications

References 9 publications

Healthcare recommendations for Joubert syndrome

Healthcare recommendations for Joubert syndrome

Anesthetic management of patients with Joubert syndrome: a retrospective analysis of a single‐institutional case series

Anaesthesia Problems in Paediatric Dermatology

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