TITLE:
A Patient with Trisomy 15 and Subglottic Tracheal Granuloma: Anesthetic Management for Emergency Rigid Bronchoscopy
AUTHORS:
Sergey Pisklakov, Vincent Cordero, Vanny Le
KEYWORDS:
Trisomy 15; Difficult Airway; Anesthesia for Rigid Bronchoscopy; Ventriculo-Septal Defect
JOURNAL NAME:
Open Journal of Anesthesiology,
Vol.3 No.1,
January
31,
2013
ABSTRACT: Trisomy 15 is a rare
genetic disorder presenting unique anesthetic challenges. This is a
case of a patient with Trisomy 15 and unrepaired
ventriculo-septal defect presented for emergent removal of a subglottic
tracheal granuloma. Developed anesthetic plan allowed the patient to breathe
spontaneously with a combination of inhalational and intravenous anesthetics.
Our technique offered optimal operating conditions and adequate depth of
anesthesia. The important points of the
case include an understanding of the physical characteristics of a patient with
Trisomy 15 and unrepaired ventriculo-septal defect and an anesthetic plan for
emergent removal of an obstructing subglottic granuloma via rigid bronchoscopy.