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- Lorenzo Rafer and James Mooney.
- From the Department of Anesthesia and Perioperative Medicine, Penn State Hershey Medical Center, Hershey, Pennsylvania.
- A A Pract. 2018 Apr 1; 10 (7): 173-175.
AbstractAn 18-month-old patient with hereditary sensory and autonomic neuropathy, type VII undergoing general anesthesia for Nissen fundoplication and gastrostomy tube is presented. This is the first reported case of a patient with this particular genetic mutation receiving general anesthesia. We presented the major intraoperative events during the procedure. The anesthetic considerations and implications of caring for a patient with this particular mutation and patients with other variations of hereditary sensory and autonomic neuropathy are also discussed. We show that a patient with de novo hereditary sensory and autonomic neuropathy, type VII without anhidrosis did not require intraoperative narcotics and did not experience bradycardia, asystole, or hemodynamic compromise.
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