Hangman's fracture in a paediatric patient: considerations for anaesthesia.
Cervical spine injuries are quite uncommon in children. When occurring, these lesions are of particular concern for the anaesthesiologist. This case refers to an hangman's fracture diagnosed in a four-month-old female infant, which probably occurred at birth. We describe the anaesthetic management adopted in this infant undergoing diagnostic procedures and conservative treatment. The problems related to airway control and the anaesthetic management utilized to diagnose and treat this unusual paediatric pathology are highlighted.
Zanette
G
G
Anaesthesiology and Intensive Care Institute, University of Padua, Padova, Italy.
Ori
C
C
Zadra
N
N
Giusti
F
F
Pittoni
G
G
D000759:Adjuvants, Anesthesia / Q000008:administration & dosage; D000771:Anesthesia, Intravenous; D000778:Anesthetics, Dissociative / Q000008:administration & dosage; D018686:Anesthetics, Intravenous / Q000008:administration & dosage; D001285:Atropine / Q000008:administration & dosage; D001720:Birth Injuries / Q000601:surgery*; D002574:Cervical Vertebrae / Q000293:injuries*; D002697:Chloral Hydrate / Q000627:therapeutic use; D016292:Procedural Sedation; D003975:Diazepam / Q000008:administration & dosage; D005260:Female; D006801:Humans; D006993:Hypnotics and Sedatives / Q000627:therapeutic use; D007223:Infant; D007649:Ketamine / Q000008:administration & dosage; D016103:Spinal Fractures / Q000175:diagnosis / Q000601:surgery*
D000759:Adjuvants, Anesthesia; D000778:Anesthetics, Dissociative; D018686:Anesthetics, Intravenous; D006993:Hypnotics and Sedatives; D002697:Chloral Hydrate; D007649:Ketamine; D001285:Atropine; D003975:Diazepam