Madan R, Trikha A, Venkataraman R K, Batra R, Kalia P
Department of Anaesthesiology, Rajendra Prasad Center for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi.
Anaesthesia. 1990 Jan;45(1):49-52. doi: 10.1111/j.1365-2044.1990.tb14505.x.
Seventeen patients with Goldenhar's syndrome who had surgery 28 times are presented. Various authors have reported problems in the anaesthetic management of these patients, but we encountered significant difficulties in only one. Three anaesthetic techniques were used. A thorough pre-operative assessment with back-up facilities for difficult intubation are important. Additional cardiorespiratory and craniovertebral anomalies may necessitate modifications in the basic techniques.
本文报告了17例患有Goldenhar综合征的患者,他们共接受了28次手术。不同作者报道了这些患者麻醉管理中存在的问题,但我们仅在1例中遇到了重大困难。使用了三种麻醉技术。进行全面的术前评估并配备困难插管的备用设备很重要。额外的心肺和颅颈异常可能需要对基本技术进行调整。