title: Anaesthetic considerations in Kartagener's syndrome -- a case report.
abstract: Kartagener's syndrome is a rare disorder characterized by the triad of situs inversus, including dextrocardia, bronchiectasis and paranasal sinusitis. We report the anaesthetic management of a patient with Kartagener's syndrome and postrenal transplant immunosuppression, presenting for repair of uterovaginal prolapse. Combined spinal epidural anaesthesia was administered to this patient. The anaesthetic considerations of this rare disorder and the relative advantages of the regional technique over general anaesthesia in this situation are discussed.
authors.affiliation: Department of Anaesthesiology and Critical Care, All India Institute of Medical Sciences, New Delhi, India. jlmathew@hotmail.com
authors.forename: P J
authors.initials: PJ
authors.lastname: Mathew
authors.forename: G S
authors.initials: GS
authors.lastname: Sadera
authors.forename: S
authors.initials: S
authors.lastname: Sharafuddin
authors.forename: B
authors.initials: B
authors.lastname: Pandit
mesh_terms: D000328:Adult; D000701:Analgesics, Opioid / Q000627:therapeutic use; D000767:Anesthesia, Epidural / Q000379:methods*; D000775:Anesthesia, Spinal / Q000379:methods*; D000779:Anesthetics, Local / Q000627:therapeutic use; D002045:Bupivacaine / Q000627:therapeutic use; D005260:Female; D006801:Humans; D007108:Immune Tolerance / Q000502:physiology; D007619:Kartagener Syndrome / Q000150:complications / Q000601:surgery*; D016030:Kidney Transplantation / Q000009:adverse effects; D016343:Monitoring, Intraoperative / Q000379:methods; D009020:Morphine / Q000627:therapeutic use; D010149:Postoperative Pain / Q000517:prevention & control; D014596:Uterine Prolapse / Q000601:surgery
chemical_list: D000701:Analgesics, Opioid; D000779:Anesthetics, Local; D009020:Morphine; D002045:Bupivacaine