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Perioperative airway management of a patient with Beckwith-Wiedemann syndrome

Journal of Dental Anesthesia and Pain Medicine 2016³â 16±Ç 4È£ p.313 ~ 316
Tsukamoto Masanori, Hitosugi Takashi, Yokoyama Takeshi,
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 ( Tsukamoto Masanori ) - Kyushu University Hospital Department of Dental Anesthesiology
 ( Hitosugi Takashi ) - Kyushu University Faculty of Dental Science Department of Dental Anesthesiology
 ( Yokoyama Takeshi ) - Kyushu University Faculty of Dental Science Department of Dental Anesthesiology

Abstract


Airway obstruction in pediatric patients always poses a challenge for anesthesiologists. Beckwith-Wiedemann syndrome causes various abnormalities such as macroglossia and omphalocele. Patients with these abnormalities often need corrective surgeries. Management of difficult airway caused by conditions such as macroglossia in patients with this syndrome could be challenging. We encountered a case of difficult airway in an infant with Beckwith-Wiedemann syndrome. It was predicted that macroglossia might cause difficult ventilation, intubation, and extubation. Preoperative assessment and preparations for difficult airway should be considered.

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Airway management; Beckwith-Wiedemann syndrome; General anesthesia

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