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Journal of anesthesia · Jun 2015
Case ReportsAnesthetic management of pediatric patients with Emanuel syndrome.
- Reiko Nishinarita, Takahiro Mihara, Nobuhito Nakamura, Yoshihisa Miyamoto, and Koui Ka.
- Department of Anesthesiology, Kanagawa Children's Medical Center, Mutsukawa 2-138-4, Minami-ku, Yokohama, Japan.
- J Anesth. 2015 Jun 1; 29 (3): 450-452.
AbstractEmanuel syndrome is a rare anomaly associated with multiple systemic malformations. We present two cases involving pediatric patients with Emanuel syndrome. The first patient presented with micrognathia and had patent ductus arteriosus and a single kidney. The patient was difficult to intubate with McGRATH(®) but was successfully intubated with an Airtraq(®) device. The second patient did not present with micrognathia and was not difficult to intubate. A thorough examination of the heart, kidney, and spinal cord is important when planning the anesthetic management of patients with Emanuel syndrome. Moreover, adequate preparation for a difficult airway is essential, and the Airtraq(®) device may be useful for intubating patients with Emanuel syndrome with micrognathia.
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