Livedo reticular por hipotermia durante anestesia para tratamento odontológico em paciente com síndrome de Down

Detalhes bibliográficos
Autor(a) principal: Penna, Heber de Moraes [UNESP]
Data de Publicação: 2018
Outros Autores: Modolo, Norma Sueli Pinheiro [UNESP], Paiva, Dário Humberto de
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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spelling 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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