Providing anesthesia to patients with Brachmann-de Lange syndrome (BdLS) may be challenging, mainly because of intubation difficulty, gastroesophageal reflux disease, and aspiration complications. The use of spinal anesthesia (SA) in this population has not been reported. We report the uneventful administration of awake SA to a 7-month-old girl with BdLS who was scheduled for rectal biopsy. The current literature is reviewed to discuss the indications for SA in those patients.
Ludmyla Kachko, Elena Sanko, Enrique Freud, and Jacob Katz.
Department of Anesthesia, Schneider Children's Medical Center of Israel (SCMCI) (Affiliated to Sackler Faculty of Medicine, Tel Aviv University), 14 Kaplan Street, 49202 Petah Tiqwa, Israel. kachko_l@hotma... more il.com less
J Anesth. 2010 Dec 1;24(6):942-4.
AbstractProviding anesthesia to patients with Brachmann-de Lange syndrome (BdLS) may be challenging, mainly because of intubation difficulty, gastroesophageal reflux disease, and aspiration complications. The use of spinal anesthesia (SA) in this population has not been reported. We report the uneventful administration of awake SA to a 7-month-old girl with BdLS who was scheduled for rectal biopsy. The current literature is reviewed to discuss the indications for SA in those patients.