Livedo reticular por hipotermia durante anestesia para tratamento odontológico em paciente com síndrome de Down
Autor(a) principal: | |
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Data de Publicação: | 2018 |
Outros Autores: | , |
Tipo de documento: | Artigo |
Idioma: | eng por |
Título da fonte: | Repositório Institucional da UNESP |
Texto Completo: | http://dx.doi.org/10.1016/j.bjan.2018.02.001 http://hdl.handle.net/11449/179681 |
Resumo: | Background: Livedo reticularis (LR) is a benign dermatological condition characterized by ischemic areas permeated by erythematous‐cyanotic areas in a lacy pattern, and may be transient or permanent and is frequently associated with body exposure to cold. Cutaneous arterial vasospasm promotes ischemia, and venous dilation of the congested areas occurs by tissue hypoxia or autonomic dysfunction. Patients with Down's syndrome (DS), due to their physiological peculiarities, constitute a representative part of those who require dental care under general anesthesia, and LR has a reported incidence of 8% to 12% in DS patients. Objectives: Describe the physiological livedo reticularis (LR) in a DS patient, with the onset during the anesthetic‐surgical procedure. Case report: 5‐year‐old female patient with DS, admitted for dental treatment under balanced general anesthesia with sevoflurane, fentanyl, and atracurium. There was the occurrence of transoperative hypothermia, with axillary temperature reaching 34.5 °C after 30 minutes after the beginning of anesthesia. At the end of the procedure, red‐purplish skin lesions interspersed with areas of pallor were observed exclusively on the ventromedial aspect of the right forearm, with no systemic signs suggestive of allergic reactions. The established diagnosis was physiological LR. There was a total fading of the lesions within 5 days. Conclusion: This report evidences the need for thermal control of patients undergoing anesthesia, as well as the manifestation of LR as a consequence of transoperative hypothermia. |
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Livedo reticular por hipotermia durante anestesia para tratamento odontológico em paciente com síndrome de DownLivedo reticularis by hypothermia during anesthesia for dental treatment in Down's syndrome patientAnesthesiaDental treatmentDown's syndromeHypothermiaLivedo reticularisTrisomy 21Background: Livedo reticularis (LR) is a benign dermatological condition characterized by ischemic areas permeated by erythematous‐cyanotic areas in a lacy pattern, and may be transient or permanent and is frequently associated with body exposure to cold. Cutaneous arterial vasospasm promotes ischemia, and venous dilation of the congested areas occurs by tissue hypoxia or autonomic dysfunction. Patients with Down's syndrome (DS), due to their physiological peculiarities, constitute a representative part of those who require dental care under general anesthesia, and LR has a reported incidence of 8% to 12% in DS patients. Objectives: Describe the physiological livedo reticularis (LR) in a DS patient, with the onset during the anesthetic‐surgical procedure. Case report: 5‐year‐old female patient with DS, admitted for dental treatment under balanced general anesthesia with sevoflurane, fentanyl, and atracurium. There was the occurrence of transoperative hypothermia, with axillary temperature reaching 34.5 °C after 30 minutes after the beginning of anesthesia. At the end of the procedure, red‐purplish skin lesions interspersed with areas of pallor were observed exclusively on the ventromedial aspect of the right forearm, with no systemic signs suggestive of allergic reactions. The established diagnosis was physiological LR. There was a total fading of the lesions within 5 days. Conclusion: This report evidences the need for thermal control of patients undergoing anesthesia, as well as the manifestation of LR as a consequence of transoperative hypothermia.Clínica de Anestesia de GoiâniaUniversidade Estadual Paulista (Unesp) Faculdade de Medicina de Botucatu Faculdade de Ciências Médicas e Biológicas de BotucatuUniversidade Estadual Paulista (Unesp) Faculdade de Medicina de Botucatu Faculdade de Ciências Médicas e Biológicas de BotucatuClínica de Anestesia de GoiâniaUniversidade Estadual Paulista (Unesp)Penna, Heber de Moraes [UNESP]Modolo, Norma Sueli Pinheiro [UNESP]Paiva, Dário Humberto de2018-12-11T17:36:20Z2018-12-11T17:36:20Z2018-01-01info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttp://dx.doi.org/10.1016/j.bjan.2018.02.001Brazilian Journal of Anesthesiology.1806-907X0034-7094http://hdl.handle.net/11449/17968110.1016/j.bjan.2018.02.0012-s2.0-850440535012-s2.0-85044053501.pdf82235464757240580000-0002-8549-6820Scopusreponame:Repositório Institucional da UNESPinstname:Universidade Estadual Paulista (UNESP)instacron:UNESPengporBrazilian Journal of Anesthesiology0,320info:eu-repo/semantics/openAccess2024-08-14T13:20:06Zoai:repositorio.unesp.br:11449/179681Repositório InstitucionalPUBhttp://repositorio.unesp.br/oai/requestopendoar:29462024-08-14T13:20:06Repositório Institucional da UNESP - Universidade Estadual Paulista (UNESP)false |
dc.title.none.fl_str_mv |
Livedo reticular por hipotermia durante anestesia para tratamento odontológico em paciente com síndrome de Down Livedo reticularis by hypothermia during anesthesia for dental treatment in Down's syndrome patient |
title |
Livedo reticular por hipotermia durante anestesia para tratamento odontológico em paciente com síndrome de Down |
spellingShingle |
Livedo reticular por hipotermia durante anestesia para tratamento odontológico em paciente com síndrome de Down Penna, Heber de Moraes [UNESP] Anesthesia Dental treatment Down's syndrome Hypothermia Livedo reticularis Trisomy 21 |
title_short |
Livedo reticular por hipotermia durante anestesia para tratamento odontológico em paciente com síndrome de Down |
title_full |
Livedo reticular por hipotermia durante anestesia para tratamento odontológico em paciente com síndrome de Down |
title_fullStr |
Livedo reticular por hipotermia durante anestesia para tratamento odontológico em paciente com síndrome de Down |
title_full_unstemmed |
Livedo reticular por hipotermia durante anestesia para tratamento odontológico em paciente com síndrome de Down |
title_sort |
Livedo reticular por hipotermia durante anestesia para tratamento odontológico em paciente com síndrome de Down |
author |
Penna, Heber de Moraes [UNESP] |
author_facet |
Penna, Heber de Moraes [UNESP] Modolo, Norma Sueli Pinheiro [UNESP] Paiva, Dário Humberto de |
author_role |
author |
author2 |
Modolo, Norma Sueli Pinheiro [UNESP] Paiva, Dário Humberto de |
author2_role |
author author |
dc.contributor.none.fl_str_mv |
Clínica de Anestesia de Goiânia Universidade Estadual Paulista (Unesp) |
dc.contributor.author.fl_str_mv |
Penna, Heber de Moraes [UNESP] Modolo, Norma Sueli Pinheiro [UNESP] Paiva, Dário Humberto de |
dc.subject.por.fl_str_mv |
Anesthesia Dental treatment Down's syndrome Hypothermia Livedo reticularis Trisomy 21 |
topic |
Anesthesia Dental treatment Down's syndrome Hypothermia Livedo reticularis Trisomy 21 |
description |
Background: Livedo reticularis (LR) is a benign dermatological condition characterized by ischemic areas permeated by erythematous‐cyanotic areas in a lacy pattern, and may be transient or permanent and is frequently associated with body exposure to cold. Cutaneous arterial vasospasm promotes ischemia, and venous dilation of the congested areas occurs by tissue hypoxia or autonomic dysfunction. Patients with Down's syndrome (DS), due to their physiological peculiarities, constitute a representative part of those who require dental care under general anesthesia, and LR has a reported incidence of 8% to 12% in DS patients. Objectives: Describe the physiological livedo reticularis (LR) in a DS patient, with the onset during the anesthetic‐surgical procedure. Case report: 5‐year‐old female patient with DS, admitted for dental treatment under balanced general anesthesia with sevoflurane, fentanyl, and atracurium. There was the occurrence of transoperative hypothermia, with axillary temperature reaching 34.5 °C after 30 minutes after the beginning of anesthesia. At the end of the procedure, red‐purplish skin lesions interspersed with areas of pallor were observed exclusively on the ventromedial aspect of the right forearm, with no systemic signs suggestive of allergic reactions. The established diagnosis was physiological LR. There was a total fading of the lesions within 5 days. Conclusion: This report evidences the need for thermal control of patients undergoing anesthesia, as well as the manifestation of LR as a consequence of transoperative hypothermia. |
publishDate |
2018 |
dc.date.none.fl_str_mv |
2018-12-11T17:36:20Z 2018-12-11T17:36:20Z 2018-01-01 |
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 |
http://dx.doi.org/10.1016/j.bjan.2018.02.001 Brazilian Journal of Anesthesiology. 1806-907X 0034-7094 http://hdl.handle.net/11449/179681 10.1016/j.bjan.2018.02.001 2-s2.0-85044053501 2-s2.0-85044053501.pdf 8223546475724058 0000-0002-8549-6820 |
url |
http://dx.doi.org/10.1016/j.bjan.2018.02.001 http://hdl.handle.net/11449/179681 |
identifier_str_mv |
Brazilian Journal of Anesthesiology. 1806-907X 0034-7094 10.1016/j.bjan.2018.02.001 2-s2.0-85044053501 2-s2.0-85044053501.pdf 8223546475724058 0000-0002-8549-6820 |
dc.language.iso.fl_str_mv |
eng por |
language |
eng por |
dc.relation.none.fl_str_mv |
Brazilian Journal of Anesthesiology 0,320 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.source.none.fl_str_mv |
Scopus reponame:Repositório Institucional da UNESP instname:Universidade Estadual Paulista (UNESP) instacron:UNESP |
instname_str |
Universidade Estadual Paulista (UNESP) |
instacron_str |
UNESP |
institution |
UNESP |
reponame_str |
Repositório Institucional da UNESP |
collection |
Repositório Institucional da UNESP |
repository.name.fl_str_mv |
Repositório Institucional da UNESP - Universidade Estadual Paulista (UNESP) |
repository.mail.fl_str_mv |
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1808128110338506752 |