Pelli Massimiliano, Loffredo Chiara, Menna Cecilia, Fiorelli Silvia, Massullo Domenico
Division of Anesthesia and Intensive Care Medicine, Department of Clinical and Surgical Translational Medicine, Sant' Andrea Hospital, Sapienza University of Rome, Rome, ITA.
Division of Thoracic Surgery, Department of Clinical and Surgical Translational Medicine, Sant' Andrea Hospital, Sapienza University of Rome, Rome, ITA.
Cureus. 2021 Aug 12;13(8):e17130. doi: 10.7759/cureus.17130. eCollection 2021 Aug.
The anesthetic management of adult patient with Down syndrome (DS) can be challenging due to poor patient cooperation, age-related comorbidities, and a possible difficult airway. Thoracic anesthesia requires an advanced airway management; thus, treatment of DS patients can be particularly demanding. An accurate preoperative assessment is paramount in order to plan a well-designed perioperative strategy in advance. This report describes the anesthetic management of an adult patient affected by DS who underwent pleural decortication for pleural empyema.
由于患者配合度差、与年龄相关的合并症以及可能存在的困难气道，唐氏综合征（DS）成年患者的麻醉管理可能具有挑战性。胸科麻醉需要先进的气道管理；因此，DS患者的治疗可能特别困难。准确的术前评估至关重要，以便提前制定精心设计的围手术期策略。本报告描述了一名患有DS的成年患者接受胸膜纤维板剥脱术治疗胸膜脓胸的麻醉管理。
