• A&A practice · Aug 2022

    Use of a Spinal-Caudal Epidural Technique for Abdominal Surgery in a Newborn With Noonan Syndrome and Severe Hypertrophic Cardiomyopathy.

    • Deanna F Couser, Giorgio C Veneziano, Olubukola O Nafiu, Joseph D Tobias, and Ralph J Beltran.
    • From the Department of Anesthesiology & Pain Medicine, Nationwide Children's Hospital, Columbus, Ohio.
    • A A Pract. 2022 Aug 1; 16 (8): e01611.

    AbstractFeatures of Noonan syndrome include a distinctive facial appearance, short stature, a broad or webbed neck, congenital heart disease, bleeding problems, skeletal malformations, and developmental delay. Although pulmonary stenosis is most commonly reported, up to 20% of patients have hypertrophic cardiomyopathy (HCM). We report the use of a combined spinal-caudal epidural anesthesia technique during urologic surgery (pyeloplasty) in an 8-week-old infant with Noonan syndrome and HCM. A spinal-caudal epidural technique provides favorable hemodynamic conditions, avoids the need for airway instrumentation, and may serve as an alternative to general anesthesia in these high risk patients.Copyright © 2022 International Anesthesia Research Society.

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