• Masui · Apr 2006

    Case Reports

    [Anesthetic management of an infant with Cornelia de Lange syndrome].

    • Takanao Hirai, Keiichi Nitahara, Kazuo Higa, Shigenori Iwakiri, Shinjiro Shono, and Kiyoshi Katori.
    • Department of Anesthesiology, Fukuoka University School of Medicine, Fukuoka 814-0180.
    • Masui. 2006 Apr 1; 55 (4): 454-6.

    AbstractWe report anesthetic management of an infant with Cornelia de Lange syndrome. A 12-month-old girl with Cornelia de Lange syndrome was scheduled for ureterocystoneostomy because of vesicoureteral reflux. Preoperative physical examination suggested difficult tracheal intubation. After induction of anesthesia with sevoflurane (5%) in nitrous oxide (70%) and oxygen, a laryngeal mask airway (# 1.5) was inserted. A guide wire was inserted in the trachea through a laryngeal mask airway under direct vision of a fiberoptic bronchoscope. A tube-exchanger stylet was inserted around the guide wire after the laryngeal mask airway and fiberoptic bronchoscope had been removed. An endotracheal tube (ID 4.0 mm) was easily intubated around the tube-exchanger stylet. During the surgery, anesthesia was maintained with sevoflurane (2-3%) in nitrous oxide (50%) and oxygen. There was no perioperative pulmonary complication.

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