Spinal anesthesia in a child with Brachmann-de Lange (Cornelia de Lange) syndrome.
Providing anesthesia to patients with Brachmann-de Lange syndrome (BdLS) may be challenging, mainly because of intubation difficulty, gastroesophageal reflux disease, and aspiration complications. The use of spinal anesthesia (SA) in this population has not been reported. We report the uneventful administration of awake SA to a 7-month-old girl with BdLS who was scheduled for rectal biopsy. The current literature is reviewed to discuss the indications for SA in those patients.
Kachko
Ludmyla
L
Department of Anesthesia, Schneider Children's Medical Center of Israel (SCMCI) (Affiliated to Sackler Faculty of Medicine, Tel Aviv University), 14 Kaplan Street, 49202 Petah Tiqwa, Israel. kachko_l@hotmail.com
Sanko
Elena
E
Freud
Enrique
E
Katz
Jacob
J
D000775:Anesthesia, Spinal; D001706:Biopsy; D003635:De Lange Syndrome / Q000601:surgery*; D005260:Female; D005764:Gastroesophageal Reflux / Q000150:complications; D006627:Hirschsprung Disease / Q000175:diagnosis; D006801:Humans; D007223:Infant; D007442:Intubation, Intratracheal; D008171:Lung Diseases / Q000150:complications; D012007:Rectum / Q000473:pathology; D053120:Respiratory Aspiration / Q000150:complications