Hdl Handle:
http://hdl.handle.net/10675.2/939
Title:
The Use of Dexmedetomidine During Nasotracheal Intubation in a Patient with CHARGE Syndrome
Authors:
Crews, Lindsay K; Mattingly, Diana; Florentino-Pineda, Ivan
Abstract:
CHARGE Syndrome (CS), also known as Hall-Hittner syndrome, is a congenital disorder comprised of multiple anomalies (coloboma, heart defect, atresia choanal, retarded growth and development, genital hypoplasia, ear anomalies/deafness). First described in 1979 by Hall and Hittner, it is caused by a mutation in the gene CHD7 on chromosome 8.1 Facial and upper airway features of CS, including midface hypoplasia, micrognathia, cleft lip, and palate, anterior larynx, and subglottic stenosis, make the airway management of these patients a challenge for the anesthesiologist. Because difficult airway management is a concern, spontaneous ventilation is recommended until the airway is secured. We report the use of dexmedetomidine (DEX) for deep sedation in a CS patient who required nasotracheal intubation using a fiberoptic bronchoscope (FB) while breathing spontaneously.
Publisher:
Society for Pediatric Anesthesia
Issue Date:
Mar-2010
URI:
http://hdl.handle.net/10675.2/939
Language:
en_US
Series/Report no.:
SPA;2010-P01
Appears in Collections:
Department of Anesthesiology and Perioperative Medicine: Faculty Research and Presentaions

Full metadata record

DC FieldValue Language
dc.contributor.authorCrews, Lindsay K-
dc.contributor.authorMattingly, Diana-
dc.contributor.authorFlorentino-Pineda, Ivan-
dc.date.accessioned2013-02-18T23:41:43Z-
dc.date.available2013-02-18T23:41:43Z-
dc.date.issued2010-03-
dc.identifier.urihttp://hdl.handle.net/10675.2/939-
dc.description.abstractCHARGE Syndrome (CS), also known as Hall-Hittner syndrome, is a congenital disorder comprised of multiple anomalies (coloboma, heart defect, atresia choanal, retarded growth and development, genital hypoplasia, ear anomalies/deafness). First described in 1979 by Hall and Hittner, it is caused by a mutation in the gene CHD7 on chromosome 8.1 Facial and upper airway features of CS, including midface hypoplasia, micrognathia, cleft lip, and palate, anterior larynx, and subglottic stenosis, make the airway management of these patients a challenge for the anesthesiologist. Because difficult airway management is a concern, spontaneous ventilation is recommended until the airway is secured. We report the use of dexmedetomidine (DEX) for deep sedation in a CS patient who required nasotracheal intubation using a fiberoptic bronchoscope (FB) while breathing spontaneously.en_US
dc.language.isoen_USen_US
dc.publisherSociety for Pediatric Anesthesiaen_US
dc.relation.ispartofseriesSPA;2010-P01-
dc.subjectAnesthesiaen_US
dc.subjectPediatricen_US
dc.subjectCHARGE Syndromeen_US
dc.titleThe Use of Dexmedetomidine During Nasotracheal Intubation in a Patient with CHARGE Syndromeen_US
dc.contributor.corporatenameDepartment of Anesthesiology and Perioperative Medicineen_US
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