[Anesthetic management of an 18-trisomy neonate with high frequency ventilation].
Masui
; 54(3): 295-7, 2005 Mar.
Article
em Ja
| MEDLINE
| ID: mdl-15794109
ABSTRACT
Neonates with 18-trisomy syndrome have various anomalies including cardiac and facial anomalies. Active treatments for them have not been recommended due to a low survival over one year which is less than 10%. However, the survival over one year in our institute between 1985 and 2003 is higher at 22%, and we had a patient with survival of over 5 years. We report a case of anesthetic management in a male 18-trisomy neonate who received a radical repair of umbilical hernia immediately after his birth. Tracheal intubation was difficult due to small airway and facial anomalies; cleft clip, cleft palate, and macrognathia. Conventional ventilation was ineffective for elimination of carbon dioxide and oxygenation due to pulmonary hypoplasia and intra- and extra-cardiac shunts. A high frequency ventilation improved elimination of carbon dioxide and oxygenation.
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Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Trissomia
/
Anormalidades Múltiplas
/
Cromossomos Humanos Par 18
/
Ventilação de Alta Frequência
/
Hérnia Umbilical
/
Anestesia
Limite:
Humans
/
Male
/
Newborn
Idioma:
Ja
Ano de publicação:
2005
Tipo de documento:
Article