麻酔と蘇生 Volume 54 Issue 2
published_at 2018-06-20

小児軟骨無形成症患者に対する大後頭孔拡大術の麻酔の1例

Pediatric Patient with Achondroplasia Who Underwent Foramen Magnum Decompression
Fukuda Shiro
Miyake Nanae
Matayoshi Hiroaki
fulltext
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AnesthResus_54-2_5.pdf
Abstract
A 1-year-and-1-month-old female patient diagnosed with achondroplasia (ACH), underwent foramen magnum decompression under general anesthesia. Difficult airway management was predicted at the induction of general anesthesia, and Airway ScopeTM was successfully used in tracheal intubation. Heat retention was observed during the anesthetic management, supposedly due to the congenital shortness of her four limbs. General anesthesia, including airway management and strict control of body temperature, should be carefully planned in pediatric patients with ACH.
Keywords
achondroplasia
foramen magnum decompression
general anesthesia
Airway Scope
heat retension