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Anaesthetic management of a case of osteogenesis imperfecta with urinary bladder stone - a case report.
MedLine Citation:
PMID:  20640081     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
SUMMARY: Sometimes in practice of anaesthesia, anaesthesiologist encounters patients with rare congenital diseases. To anaesthesiologist, these patients are a challenge due to inherent complications associated with the disease. Here, we are reporting a case of osteogenesis imperfecta who was posted for the surgery for vesical calculus. All investigations were done to rule out any cardio-respiratory abnormalities, bleeding disorders, which are commonly associated with these patients. Caudal epidural was chosen as anaesthesia technique of choice as spinal anaesthesia was anticipated to be difficult due to associated kyphoscoliosis. GA was avoided due to anticipated difficult airway, restrictive lung disease and susceptibility to malignant hyperthermia. We emphasize the importance of proper preanaesthetic evaluation, intellectual, mental and logistical preparation which should be done before anaesthetising these types of patients.
Authors:
Munish Garg; Manish Jain; Amit Gupta
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Indian journal of anaesthesia     Volume:  53     ISSN:  0976-2817     ISO Abbreviation:  Indian J Anaesth     Publication Date:  2009 Feb 
Date Detail:
Created Date:  2010-07-19     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0013243     Medline TA:  Indian J Anaesth     Country:  India    
Other Details:
Languages:  eng     Pagination:  68-70     Citation Subset:  -    
Affiliation:
Assistant Prof, Department of Anesthesiology & Critical Care, Subharti Medical College, Meerut, U.P., INDIA.
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