Perioperative anesthetic management of reductive glossoplasty in a patient with Beckwith-Wiedemann syndrome. / Manejo anestésico perioperatorio de glosoplastia reductora en paciente con síndrome de Beckwith-Wiedemann.
Rev Esp Anestesiol Reanim (Engl Ed)
; 68(3): 156-160, 2021 Mar.
Article
in En, Es
| MEDLINE
| ID: mdl-32417109
ABSTRACT
INTRODUCTION:
Postoperative management of patients with the congenital growth disorder Beckwith-Wiedemann syndrome (BWS) can be complicated. The main clinical manifestations of the syndrome are macroglossia - which may hamper airway management -, prematurity, hemihypertrophy, omphalocele, embryonal tumours and episodes of neonatal hypoglycaemia.OBJECTIVE:
Our main objective is to describe the perioperative management and potential anaesthetic complications in paediatric patients with BWS undergoing glossectomy.METHODS:
Case report and literature review.RESULTS:
We describe the case of an 11-month-old patient diagnosed with BWS who underwent reduction glossoplasty. We performed a comprehensive preoperative evaluation, taking into account potential anaesthetic complications derived from both macroglossia and prematurity, and the risk of hypoglycaemia. The procedure was performed under general anaesthesia. Intubation - performed according to difficult airway management algorithms - was uneventful and the patient was successfully extubated in the operating room. The patient remained stable during the postoperative period, with good respiratory dynamics, SatO2>96% and good glycaemic control. Oral intake was started 4hours after surgery, and she was discharged to the ward at 24hours.CONCLUSION:
BWS patients require a multimodal approach that includes detailed preoperative planning and knowledge of potential airway-related and systemic complications.Key words
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Beckwith-Wiedemann Syndrome
/
Anesthetics
/
Macroglossia
Limits:
Child
/
Female
/
Humans
/
Infant
/
Newborn
Language:
En
/
Es
Journal:
Rev Esp Anestesiol Reanim (Engl Ed)
Year:
2021
Document type:
Article