Górnik-Właszczuk Ewa, Majewski Jacek, Szczygieł Rafał, Kurak Jarosław
Department of Anaesthesiology and Intensive Therapy, District Hospital of Trauma Surgery in Piekary Śląskie, ul. Bytomska 62, 41-940 Piekary Śląskie.
Anestezjol Intens Ter. 2011 Apr-Jun;43(2):90-2.
Arthrogryposis is a rare congenital syndrome, characterised by multiple joint contractures. Children suffering from this disease often need surgical interventions to correct musculoskeletal abnormalities. Among problems which may be encountered are a difficult airway, myopathy, difficulties with peripheral iv placement, and the possibility of intraoperative hyperthermia. In three described cases, we used thiopentone and cis-atracurium to induce anaesthesia, which was then maintained with nitrous-oxide and fentanyl. In one case sevoflurane was also used. No problems with intubation or hyperthermia were encountered.