• Masui · Jan 1996

    Case Reports

    [Anesthetic management of a pediatric patient with Cornelia de Lange syndrome].

    • H Nagai, Y Noda, K Mase, S Ogawa, and H Suzuki.
    • Department of Anesthesiology, Sagamihara Kyodo Hospital.
    • Masui. 1996 Jan 1;45(1):99-101.

    AbstractWe did anesthetic management on a pediatric patient with Cornelia de Lange syndrome presenting a peculiar look, variable physical deformities, and some growth and mental retardations. An 8-year-old male patient was scheduled for inguinal hernioplasty under general anesthesia. This patient had been suffering from dehydration for apodeisis and self-destructive tendency due to psychologic stress. Anesthesia was induced and maintained with sevoflurane and N2O in oxygen. The area of skin incision was infiltrated with 0.25 % bupivacaine for the purpose of post-operative analgesia, and as a result, psychologically and physically stable condition was obtained during post-operative periods. It is necessary to understand not only the patient's physical conditions but also mental ones in order to make the anesthetic management safer and more satisfactory.

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