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Case Report

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Intravenous anaesthesia for adenoidectomy in a 3-year-old child with Kartagener syndrome and sleep disordered breathing

  • SANDA STOJANOVIC STIPIC1
  • MLADEN CAREV1
  • ZELJKA ROJE2
  • MILEVA FRANKIC1
  • DAMIR FABIJANIC3
  • NENAD KARANOVIC1

1,Department of Anaesthesiology and Intensive Care Medicine Split University Hospital

2ENT Department, Split University Hospital

3,Department of Internal Medicine Split University Hospital

DOI: 10.22514/SV62.102011.14 Vol.6,Issue 2,October 2011 pp.91-93

Published: 31 October 2011

*Corresponding Author(s): SANDA STOJANOVIC STIPIC E-mail: sanda.stojanovic@st.t-com.hr

Abstract

Kartagener syndrome (KGS) is a rare inherited disorder characterized by situs inversus viscerum (including dextrocar-dia) and primary ciliary dyskinesia resulting in chronic respiratory tract infections, bronchiectasis and sinusitis. Possible anesthesiologic challenges are related to the respiratory system and increased susceptibility to infectious complications. There are several case reports of general anesthesia in these patients, but mainly in the adult population . Here, we report on a 3-year old female child with KGS, who underwent adenoidectomy because of sleep disordered breathing (SDB). Preoperative preparation consisted of intravenous antibiotics, steroids, as well as postural drainage and inhalations of bromhexine and salbutamol. Anesthesia was induced with propofol, fentanyl and vecuronium and maintained with a con-tinuous infusion of propofol (150-200 μg·kg-1·min-1) and supplemental doses of fentanyl. The child was ventilated with oxygen/air mixture (50%:50%) in the pressure-controlled mode of ventilation to keep end-tidal CO2 between 30 and 35 mmHg. During anesthesia the child’s hemodynamic and respiratory parameters were stable. Extubation, after thorough endotracheal and oral suction, was uneventful. After two hours in the post-anaesthesia care unit (PACU), the child was transferred to the ward. To the best of our knowledge, this is the youngest reported child with KGS and SDB that underwent intravenous general anesthesia. We also stress here the importance of comprehensive pre-anesthetic preparation, i.e. postural drainage, inhalations, bronchodilators, i.v. antibiotics and steroids. Furthermore, the condition of the respiratory system in the patient with KGS is seldom appropriate at the time of surgery, so the decision to anesthetize or not, should be made on an individual basis.

Keywords

Kartagener syndrome (KGS), sleep disorder breathing (SDB), total intravenous anaesthesia (TIVA)

Cite and Share

SANDA STOJANOVIC STIPIC,MLADEN CAREV,ZELJKA ROJE,MILEVA FRANKIC,DAMIR FABIJANIC,NENAD KARANOVIC. Intravenous anaesthesia for adenoidectomy in a 3-year-old child with Kartagener syndrome and sleep disordered breathing. Signa Vitae. 2011. 6(2);91-93.

References

1. Sahajananda H, Sanjay OP, Thomas J, Daniel B. General anaesthesia for lobectomy in an 8-year-old child with Kartagener's syndrome. Paediatr Anaesth 2003;13:714-7.

2. Matthew PJ, Sadera GS, Sharafuddin S, Pandit B. Anaesthetic considerations in Kartagener's syndrome – a case report. Acta Anaesthesiol Scand 2004;48:518-20.

3. Chittora SP, Raiger LK, Sood A, Dulara SC. Anaesthetic management of a child with Kartagener’s syndrome undergoing nasal polipectomy. J Anaesth Clin Pharmacol 2004;20:195-6.

4. Dylan Bould M, Gothard JW. Sudden hypoxia during anesthesia in a patient with Kartagener’s syndrome. Paediatr Anaesth 2006;16:977-80.

5. Khattab AM, El-Seify ZA, Shaaban A, Radojevic D, Jankovic I. Sevoflurane-emergence agitation: effect of supplementary low-dose oral ketamine premedication in preschool children undergoing dental surgery. Eur J Anaesthesiol 2010;27:353-8

6. Mani V, Morton NS. Overview of total intravenous anesthesia in children. Paediatr Anaesth 2010;20:211-22.

7. Lerman J, Jöhr M. Inhalational anesthesia vs total intravenous anesthesia (TIVA) for pediatric anesthesia. Paediatr Anaesth 2009;19:521-34.

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