Risks of anaesthesia in children with Angelman syndrome
Authors:
Hladíková Andrea 1; Olos Tomáš 2; Hladík Michal 2; Šilhánová Eva 1
Authors place of work:
Oddělení lékařské genetiky, FN Ostrava
1; Klinika dětského lékařství FN Ostrava a LF Ostravské univerzity
2
Published in the journal:
Anest. intenziv. Med., 23, 2012, č. 4, s. 183-187
Category:
Anaesthesiology - Review articles
Summary
The authors would like to make you aware of the unpredictable effects of anaesthetic agents in children with Angelman syndrome (a rare neuro-genetic disorder characterized by intellectual and developmental disability, epilepsy, sleep disturbance, seizures, jerky movements – especially hand-flapping, frequent laughter or smiling, usually a happy demeanour, microcephaly, plagiocephaly, prominent mandible, wide mouth, wide-spaced teeth, hypopigmentation, tongue thrusting, suck/swallowing disorders). Especially vagal hypertonia resulting in cardiac rhythm disturbances and asystole should be considered in the peri-operative care of these patients. Their recovery may be unpredictable and complicated.
Keywords:
Angelman syndrome – anaesthetic risk – difficult airway – vagal hypertonia
Zdroje
1. Firth, H. V. et al. Oxford desk reference. Clinical Genetics. 3. vyd. Oxford University Press: Oxford New York, 2009, 708 s. ISBN 978-0-19-262896-1.
2. Ramanathan, K. R., Muthuswamy, D., Jenkins, B. J. Anaesthesia for Angelman syndrome. Anaesthesia, 2008, 63, s. 659–661.
3. Errando, C. L. Comments on a case report of Angelman syndrome anaesthesia. Anaesthesia, 2008, 63, s. 1145–1146.
4. Errando, C. L. et al. Anestesia en un caso de sindrome de Angelman. Revista Espanola de Anestesioloia y Reanimacion, 2007, 54, s. 566–569.
5. Artigas-Pallare’s, J. et al. Aspectos medicos y conductuales del sındrome de Angelman. Revista de Neurologia, 2005, 41, s. 649–656.
6. Bujok, G., Knapik, P. Angelman syndrome as a rare anaesthetic problem. Pediatric Anesthesia, 2004, 14, s. 81–83.
7. Gardner, J. C. et al. Vagal hypertonia and anesthesia in Angelman syndrome. Pediatric Anesthesia, 2008, 18, s. 332–361.
8. Vanagt, W. Y. et al. Asystole during outbursts of laughing in a child with Angelman syndrome. Pediatr Cardiol., 2005, 26, s. 866–868.
9. Douchin, S. et al. Angelman syndrome and severe vagal hypertonia. Three pediatric case reports. Arch. Mal. Coeur. Vaiss., 2000, 93, s. 559–563.
10. Ohshita, N. et al. Anesthetic management of a child with Angelman’s syndrome. Masui, 2010, 59, 4, s. 484–486.
11. Witte, W. et al. Anesthesia and Angelman syndrome. Anaesthetist, 2011, 60, 7, s. 33–40.
12. Mayhew, J. F. Anesthetic management in a child with Angelman syndrome. Pediatric Anesthesia, 2010, 20, 7, p. 675–676.
Štítky
Anaesthesiology, Resuscitation and Inten Intensive Care MedicineČlánok vyšiel v časopise
Anaesthesiology and Intensive Care Medicine
2012 Číslo 4
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