• A & A case reports · Jul 2017

    Case Reports

    Combined Spinal-Epidural Anesthesia With Dexmedetomidine-Based Sedation for Multiple Corrective Osteotomies in a Child With Osteogenesis Imperfecta Type III: A Case Report.

    • Anju Gupta, Geeta Kamal, Nishkarsh Gupta, and Anil Aggarwal.
    • From the *Department of Anesthesiology, Chacha Nehru Bal Chikitsalya, Geeta Colony, New Delhi, India; †Department of Onco-Anesthesiology and Pain Medicine, DRBRAIRCH, AIIMS, New Delhi, India; and ‡Department of Orthopedics, Chacha Nehru Bal Chikitsalya, Geeta Colony, New Delhi, India.
    • A A Case Rep. 2017 Jul 15; 9 (2): 60-63.

    AbstractOsteogenesis imperfecta (OI) is a rare disabling genetic connective tissue disorder. General anesthesia in these patients is associated with increased risks. Regional anesthesia is favored wherever feasible, but there are limited reports of use of a sole regional technique in OI in pediatric patients. Moreover, combined spinal-epidural anesthesia has never been described previously. We are reporting the use of combined spinal-epidural anesthesia for a prolonged surgery (multiple osteotomies) of lower limbs in a 10-year-old wheelchair-bound child with OI type III. Preoperative counseling, ultrasonography guidance, titrated local anesthetic dosage, and dexmedetomidine sedation helped establish optimum surgical conditions.

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