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Anesthetic management of an infant with Cornelia de Lange syndrome

机译：Cornelia de Lange综合征婴儿的麻醉处理

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摘要

We report anesthetic management of an infant with Cornelia de Lange syndrome. A 12-month-old girl with Cornelia de Lange syndrome was scheduled for ureterocystoneostomy because of vesicoureteral reflux. Preoperative physical examination suggested difficult tracheal intubation. After induction of anesthesia with sevoflurane (5%) in nitrous oxide (70%) and oxygen, a laryngeal mask airway (# 1.5) was inserted. A guide wire was inserted in the trachea through a laryngeal mask airway under direct vision of a fiberoptic bronchoscope. A tube-exchanger stylet was inserted around the guide wire after the laryngeal mask airway and fiberoptic bronchoscope had been removed. An endotracheal tube (ID 4.0 mm) was easily intubated around the tube-exchanger stylet. During the surgery, anesthesia was maintained with sevoflurane (2-3%) in nitrous oxide (50%) and oxygen. There was no perioperative pulmonary complication.
机译：我们报告了Cornelia de Lange综合征婴儿的麻醉处理。由于膀胱输尿管反流，一名患有Cornelia de Lange综合征的12个月大女孩计划进行输尿管结石造口术。术前体格检查提示气管插管困难。用一氧化二氮（70％）和氧气中的七氟醚（5％）诱导麻醉后，插入喉罩气道（＃1.5）。在纤维支气管镜的直视下，将导丝通过喉罩气道插入气管。取下喉罩气道和纤维支气管镜后，在导丝周围插入一个换管探针。气管插管（内径4.0 mm）很容易插入到换管针的周围。手术期间，在七氧化二氮（50％）和氧气中使用七氟醚（2-3％）维持麻醉。没有围手术期肺部并发症。

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