[Airway and respiratory management for anesthesia in the patients with severe motor and intellectual disabilities].
BACKGROUND
For the management of general anesthesia in the patients with severe motor and intellectual disabilities, airway and respiratory disorders are severe and may cause fatal events. We retrospectively examined these risk factors.


METHODS
We assessed adverse airway and respiratory events associated with anesthesia from perioperative and anesthetic records of these patients retrospectively.


RESULTS
Forty-one cases (31 were for fundoplication, and 10 were for gastrostomy or jejunostomy) were involved. On anesthetic introduction, in 9 cases tracheal intubation was difficult (failed in 1 case). These and other 4 cases had developed pharyngeal and laryngeal edema. Manual ventilation by facemask was successful in all cases. During the postoperative period, pneumonia (5 cases), pleural effusion (1 case), and apnea (2 cases) occurred unexpectedly.


CONCLUSIONS
Patients with severe motor and intellectual disabilities belong to the group with high risk for general anesthesia.
Okada
Masayuki
M
Department of Anesthesiology, Yamagata University School of Medicine, Yamagata.
Takata
Kousuke
K
Hoshikawa
Tamie
T
Iwabuchi
Masahiro
M
Miura
Yoshihide
Y
Kawamae
Kaneyuki
K
D000293:Adolescent; D000328:Adult; D000768:Anesthesia, General / Q000379:methods*; D002648:Child; D002675:Child, Preschool; D006233:Persons with Disabilities; D005260:Female; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D007431:Intraoperative Complications / Q000628:therapy; D008297:Male; D012120:Respiration Disorders / Q000209:etiology / Q000628:therapy*; D012189:Retrospective Studies