RESUMO
Prader-Willi syndrome (PWS) is a rare disorder of chromosome abnormalities in which the paternal genes in chromosome 15 are lacking. The clinical course is characterized by hypotonia, hyperphagia, and morbid obesity. Both general and regional anesthesia in these patients is difficult due to morbid obesity and hypotonia. We report our anesthetic management in a patient with PWS with a body mass index (BMI) of 29.43 kg/m² who underwent orchiopexy and hypospadias repair. The clinical course of the patient was uneventful during the procedure and postoperative period. However, arrangements with a pediatric intensive care setting for the postoperative period are recommended for patients with PWS undergoing surgery.
Assuntos
Anestesia Geral , Síndrome de Prader-Willi/cirurgia , Índice de Massa Corporal , Humanos , Hiperfagia/etiologia , Hipospadia/cirurgia , Lactente , Masculino , Monitorização Intraoperatória , Hipotonia Muscular/etiologia , Hipotonia Muscular/fisiopatologia , Obesidade Mórbida/etiologia , Obesidade Mórbida/fisiopatologia , Orquidopexia , Oxigênio/sangueRESUMO
Selectivity parameters of gillnets used for fish catching are very important for fisheries management in lakes. The main purpose of the present study was to estimate the selectivity parameters of monofilament gill nets mesh size of 56, 64 and 72 mm (stretched mesh size) used for European chub (Leuciscus cephalus L.1758) in Atikhisar Reservoir, Canakkale, Turkey. The indirect method proposed by Holt was used for the estimation of the selectivity parameters. The common selection factors and common standard deviation of monofilament gill nets were determined as 4.25 and 2.37, respectively. For sustainable fisheries of European chub, the minimum mesh size of monofilament gill nets must be greater than 47 mm stretched mesh size.
