Agarwal Shvetank, Ahmad Yasser Haidar, Talpesh Monica, Zestos Maria
Department of Anesthesiology, Children's Hospital of Michigan/Wayne State University, 3901 Beaubien Blvd, Detroit, MI 48201, USA.
Middle East J Anaesthesiol. 2011 Jun;21(2):309-12.
A limited number of cases of anesthetic management of Rubinstein-Taybi Syndrome (RTS) have been reported since this syndrome was first diagnosed in 1963. After some well-publicized complications following anesthesia for patients with RTS, there has been great interest in avoiding all precipitant factors and careful monitoring during intraoperative and postoperative periods. This case series examines the cases of three pediatric patients with RTS who presented to the Children's Hospital of Michigan for different surgeries. We aim in this study to share information about this rare syndrome and to emphasize how this case series allowed us to improve our anesthetic management. In each case, we adjusted our techniques using information from preceding cases to avoid complications in the following encounter.
自1963年首次诊断出鲁宾斯坦-泰比综合征(RTS)以来,关于该综合征麻醉管理的病例报道数量有限。在RTS患者麻醉后出现一些广为人知的并发症后,人们对避免所有诱发因素以及在术中和术后进行仔细监测产生了极大兴趣。本病例系列研究了三名患有RTS的儿科患者在密歇根儿童医院接受不同手术的病例。我们在本研究中的目的是分享有关这种罕见综合征的信息,并强调这个病例系列如何使我们改进了麻醉管理。在每个病例中,我们利用前一个病例的信息调整技术,以避免在后续病例中出现并发症。