Journals / İnönü Üniversitesi Tıp Fakültesi Dergisi / 2012 / Cilt: 19 - Sayı: 1

Anesthesia management of Morgagni Hernia with Down syndrome and pulmonary hypertension

Pulmoner hipertansiyonu olan Morgagni Hernili Down sendromunda anestezi yönetimi: Olgu sunumu

Pages
50–53
Publication Date
2022-10-17
DOI
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

We aimed to investigate anesthetic management of this patient with litarature.

📌 3 Key Takeaways

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Objective & Hypothesis:Pulmonary arterial hypertension (PAH) is increasing of mean arterial pressures of pulmonary vessels more than 25-30 mmHg.
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Key Findings & Data:A 2.5 year-old female pediatric patient with Down’s syndrome (6 kg) and Morgagni hernia accompained secondary PAH was planned to repairing of diaphragmatic deffect.
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Conclusion & Impact:We aimed to investigate anesthetic management of this patient with litarature.
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Abstract

Pulmonary arterial hypertension (PAH) is increasing of mean arterial pressures of pulmonary vessels more than 25-30 mmHg. Pulmonary hypertension is essential or secandary to congenital heart deffect. Down’s syndrome is the most common congenital anomaly. It is special for the anesthesiologists because of respiratuar, cardiovascular and other sistemic anomalities and may be associated with Morgagni hernia that should be repaired when detected. A 2.5 year-old female pediatric patient with Down’s syndrome (6 kg) and Morgagni hernia accompained secondary PAH was planned to repairing of diaphragmatic deffect. We aimed to investigate anesthetic management of this patient with litarature.

Özet

Pulmoner arter hipertansiyonu (PAH) pulmoner damarların ortalama arter basıncının 25-30 mmHg’yı aşmasıdır. Esansiyel olabileceği gibi konjenital kalp defektlerine sekonder olarak da görülebilir. Down sendromu en sık görülen konjenital anomalidir. Solunumsal, kardiyovasküler ve diğer sistemik anomaliler nedeniyle anestezist için özellik arz eder. Down senromuna Morgagni hernisi eşlik edebilir. Saptandığında olası akciğer komplikasyonlarını engellemek için düzeltilmelidir. Down sendromlu 2.5 yaşında (6 kg), Morgagni hernisi ve buna sekonder PAH’nın eşlik ettiği diafragmatik defekt için operasyon planlanan kız çocuğunun anestezi yönetimindeki özellikleri literatür eşliğinde gözden geçirmeyi amaçladık.

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Cite This Article

BEGEÇ, Z., ERSOY, M. Ö., ŞANLI, M., GÜLHAŞ, N. (2022). Anesthesia management of Morgagni Hernia with Down syndrome and pulmonary hypertension. İnönü Üniversitesi Tıp Fakültesi Dergisi, Cilt: 19 - Sayı: 1, 50–53. https://ajindex.com/articles/548439

References (1)

  1. Friesen RH, Williams GD. Anesthetic Management of Children with Pulmonary Arterial Hypertension. Paediatr Anaesth 2008; 18: 208-16. DOI: 10.1111/j.1460- 9592.2008.02419.x 2. Eruygur S, Ceyhan A, Gencay I, ve ark. Konjenital Morgagni Hernili Bir Çocukda Anestezik Yaklaşım: Olgu Sunumu. Gülhane Tıp Dergisi 2010; 52: 222-4. 3. Bhattarai B, Kulkarni AH, Kalingarayar S. Anesthetic Management of a Child with Down's Syndrome Having Atlanto Axial Instability. J Nepal Med Assoc 2009; 48: 66- 9. 4. Beilin B, Kadari A, Shapira Y, et al. Anaesthetic Considerations in Facial Reconstruction for Down's Syndrome. J R Soc Med. 1988; 81: 23-6. 5. Öztürk Ö, Şahin Ü. Pulmoner Arteriyel Hipertansiyon: Tanı ve Tedavisi. Süleyman Demirel Üniversitesi Tıp Fakültesi Dergisi 2009; 16: 39-47. 6. Tei C, Ling LH, Hodge DO, et al. New Index of Combined Systolic and Diastolic Myocardial Performance: A Simple and Reproducible Measure of Cardiac Function a Study in Normals and Dilated Cardiomyopathy. J Cardiol 1995; 26: 357-66. 7. Terada T, Suzuki H, Oishi S, et al. Anesthetic Management of Patients with Pulmonary Arterial Hypertension (PAH). Masui 2011; 60: 924-8. 8. Cheng DCH, Edelist G. Isofulurane and Primary Pulmonary Hypertension. Anaesthesia 1988; 43: 22-4. DOI: 10.1111/j.1365-2044.1988.tb05417.x 9. FW, Stricker PA, Gurnaney HG, et al. Bradycardia During Induction of Anesthesia with Sevoflurane in Children with Down Syndrome. Anesth Analg 2010; 111: 1259-63. DOI: 10.1213/ANE.0b013e3181f2eacf 10. Nakazawa K, Ikeda D, Ishikawa S, et al. A Case of Difficult Airway Due to Lingual Tonsillar Hypertrophy in a Patient with Down's Syndrome. Anesth Analg 2003; 97: 704-5. DOI: 10.1213/01.ANE.0000074347.64382.A4 11. Bissonnette B, Luginbuehl I, Marciniak B, et al. Poland Syndrome. In Syndromes; McGraw-Hill, 2006: 801-2.