Successful spinal anaesthesia in Hunter syndrome – a case report
Autor(a) principal: | |
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Data de Publicação: | 2017 |
Outros Autores: | |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
Texto Completo: | https://doi.org/10.25751/rspa.9579 |
Resumo: | Hunter syndrome is a rare multiorgan disease associated to high perioperative morbidity and mortality and high incidence of difficult airway, but little has been published about the success of neuraxial blockade. We describe the case of a patient submitted to surgery under successful subarachnoid block. A 17 years old male with Hunter syndrome, admitted for inferior limb surgery, has central nervous system involvement with narrowing of the cervical spinal canal, and a known difficult airway. We performed a spinal anaesthesia, successful at first attempt. Literature about anaesthetic management of Hunter syndrome patients focuses mainly on difficult airway, also with descriptions of failed spinal blocks. There is only one recently published report of successful spinal block. Our patient was operated 3 times under spinal anaesthesia despite central nervous system involvement, suggesting that, contrary to the previously documented cases, it is a valid alternative for Hunter syndrome patients. |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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Successful spinal anaesthesia in Hunter syndrome – a case reportCaso ClínicoHunter syndrome is a rare multiorgan disease associated to high perioperative morbidity and mortality and high incidence of difficult airway, but little has been published about the success of neuraxial blockade. We describe the case of a patient submitted to surgery under successful subarachnoid block. A 17 years old male with Hunter syndrome, admitted for inferior limb surgery, has central nervous system involvement with narrowing of the cervical spinal canal, and a known difficult airway. We performed a spinal anaesthesia, successful at first attempt. Literature about anaesthetic management of Hunter syndrome patients focuses mainly on difficult airway, also with descriptions of failed spinal blocks. There is only one recently published report of successful spinal block. Our patient was operated 3 times under spinal anaesthesia despite central nervous system involvement, suggesting that, contrary to the previously documented cases, it is a valid alternative for Hunter syndrome patients.Sociedade Portuguesa de Anestesiologia2017-05-07T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articlehttps://doi.org/10.25751/rspa.9579eng0871-6099Dahlem, Caroline SobralVargas, Susana Garciainfo:eu-repo/semantics/openAccessreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAP2022-09-23T15:34:42Zoai:ojs.revistas.rcaap.pt:article/9579Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T16:04:11.449726Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse |
dc.title.none.fl_str_mv |
Successful spinal anaesthesia in Hunter syndrome – a case report |
title |
Successful spinal anaesthesia in Hunter syndrome – a case report |
spellingShingle |
Successful spinal anaesthesia in Hunter syndrome – a case report Dahlem, Caroline Sobral Caso Clínico |
title_short |
Successful spinal anaesthesia in Hunter syndrome – a case report |
title_full |
Successful spinal anaesthesia in Hunter syndrome – a case report |
title_fullStr |
Successful spinal anaesthesia in Hunter syndrome – a case report |
title_full_unstemmed |
Successful spinal anaesthesia in Hunter syndrome – a case report |
title_sort |
Successful spinal anaesthesia in Hunter syndrome – a case report |
author |
Dahlem, Caroline Sobral |
author_facet |
Dahlem, Caroline Sobral Vargas, Susana Garcia |
author_role |
author |
author2 |
Vargas, Susana Garcia |
author2_role |
author |
dc.contributor.author.fl_str_mv |
Dahlem, Caroline Sobral Vargas, Susana Garcia |
dc.subject.por.fl_str_mv |
Caso Clínico |
topic |
Caso Clínico |
description |
Hunter syndrome is a rare multiorgan disease associated to high perioperative morbidity and mortality and high incidence of difficult airway, but little has been published about the success of neuraxial blockade. We describe the case of a patient submitted to surgery under successful subarachnoid block. A 17 years old male with Hunter syndrome, admitted for inferior limb surgery, has central nervous system involvement with narrowing of the cervical spinal canal, and a known difficult airway. We performed a spinal anaesthesia, successful at first attempt. Literature about anaesthetic management of Hunter syndrome patients focuses mainly on difficult airway, also with descriptions of failed spinal blocks. There is only one recently published report of successful spinal block. Our patient was operated 3 times under spinal anaesthesia despite central nervous system involvement, suggesting that, contrary to the previously documented cases, it is a valid alternative for Hunter syndrome patients. |
publishDate |
2017 |
dc.date.none.fl_str_mv |
2017-05-07T00:00:00Z |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://doi.org/10.25751/rspa.9579 |
url |
https://doi.org/10.25751/rspa.9579 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
0871-6099 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.publisher.none.fl_str_mv |
Sociedade Portuguesa de Anestesiologia |
publisher.none.fl_str_mv |
Sociedade Portuguesa de Anestesiologia |
dc.source.none.fl_str_mv |
reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação instacron:RCAAP |
instname_str |
Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
instacron_str |
RCAAP |
institution |
RCAAP |
reponame_str |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
collection |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
repository.name.fl_str_mv |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
repository.mail.fl_str_mv |
|
_version_ |
1799130505193455616 |