银-拉塞尔综合征成人患者的麻醉经验：病例报告

IF 0.8 Q3 ANESTHESIOLOGY

JA Clinical Reports Pub Date : 2024-04-03 DOI:10.1186/s40981-024-00704-5

Akinobu Hibino, Ayaka Hibino, Yoshinori Kamiya

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引用次数: 0

摘要

目前还没有关于银-拉塞尔综合征（SRS）成年患者使用麻醉的报道。在此，我们报告了我们对一名因慢性呼吸衰竭而并发 SRS 的成年患者进行麻醉的经验。一名 33 岁的女性被临床诊断为 SRS。她患有严重的慢性呼吸衰竭，并发肠系膜上动脉综合征。在硬膜外麻醉下安排了经皮胃造瘘术进行营养管理；然而，食管胃十二指肠镜检查开始后不久，她就失去了意识和自主呼吸。患者被紧急插管并转为全身麻醉。插管时潮气末二氧化碳浓度大于 90 mmHg。患有慢性呼吸衰竭的成人 SRS 患者有二氧化碳麻醉的风险。SRS 还要求在围手术期做好困难气道管理的准备。

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Anesthesia experience in an adult Silver-Russell syndrome: a case report

There are no reports of anesthesia use in adult patients with Silver-Russell syndrome (SRS). Here, we report our experience with anesthesia in an adult patient with SRS complicated by chronic respiratory failure. A 33-year-old woman was clinically diagnosed with SRS. She had severe chronic respiratory failure, complicated by superior mesenteric artery syndrome. Percutaneous gastrostomy was scheduled for nutritional management under epidural anesthesia; however, soon after esophagogastroduodenoscopy was started, she lost consciousness and spontaneous respiration. The patient was urgently intubated and converted to general anesthesia. The end-tidal carbon dioxide tension was > 90 mmHg at intubation. Adult SRS patients with chronic respiratory failure have a risk of CO2 narcosis. SRS also requires preparation for difficult airway management during the perioperative period.

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来源期刊

JA Clinical Reports ANESTHESIOLOGY-

CiteScore

1.30

自引率

0.00%

发文量

审稿时长

9 weeks

期刊介绍： JA Clinical Reports is a companion journal to the Journal of Anesthesia (JA), the official journal of the Japanese Society of Anesthesiologists (JSA). This journal is an open access, peer-reviewed, online journal related to clinical anesthesia practices such as anesthesia management, pain management and intensive care. Case reports are very important articles from the viewpoint of education and the cultivation of scientific thinking in the field of anesthesia. However, submissions of anesthesia research and clinical reports from Japan are notably decreasing in major anesthesia journals. Therefore, the JSA has decided to launch a new journal, JA Clinical Reports, to encourage JSA members, particularly junior Japanese anesthesiologists, to publish papers in English language.