Prader willi syndrome- A case report
Journal Title: Indian Journal of Clinical Anaesthesia - Year 2018, Vol 5, Issue 2
Abstract
Prader willi syndrome PWS is a complex multisystem disorder PWS mainly affects central nervous system and often involves the hypothalamus Its major clinical features include neonatal hypotonia developmental delay short stature behavior abnormalities childhood onset obesity hypothalamic hypogonadism and characteristic appearanceAnaesthetic management with general or regional anaesthesia for these patients is difficult mainly due to morbid obesity The importance of PWS for anesthesiologist and primary physician is estimated by the circumstances as the prevalence of PWS is nearly as frequent as trisomy 21 We report the anaesthetic management of a 22 year old male patient with genetically proven PWS small stature obesity with characteristic behaviour problem who presented with chronic fissure in ano Though the clinical course of the patient was uneventful under saddle block In this case report we discuss our strategy for the prevention of perioperative complications for PWS patientsKeywords Prader willi syndrome
Authors and Affiliations
Shilpa H. L. , Shwetha Odeyar S. , Adarsh E. S.
Saddle block spinal anesthesia and its effect on hemodynamic status and analgesia
Introduction The sitting position is often used for patients undergoing spinal anesthesia especially when lower lumbar and sacral levels of sensory anesthesia are required An advantage of this position is that the compli...
Comparison of hemodynamic and serum cortisol levels in response to anesthetic induction with Etomidate or Propofol in patients undergoing CABG surgery
Introduction: To compare the effects of induction agent etomidate and propofol on hemodynamic and serum cortisol levels in patients undergoing coronary artery bypass graft surgery on cardiopulmonary bypass. Materials and...
A prospective comparative study to compare cardiovascular response to laryngoscopy and intubation after induction of anaesthesia by propofol and etomidate
Context: Etomidate is having more stable cardiovascular response as compared to propofol during laryngoscopy and intubation. Aims: The present study compares the effect of propofol and etomidate on cardiovascular respons...
Comparison of intraocular pressure and hemodynamic responses to insertion of laryngeal mask airway or endotracheal tube in elective paediatric ophthalmic procedures
Introduction The main objective of the study was to assess the benefits of using laryngeal mask airway in place of endotracheal intubation in reducing the intraocular pressure and hemodynamic response in paediatric patie...
Comparison of dexmedetomidine versus esmolol (Intravenously) in reduction of cardiovascular responses to intubation during induction of general anesthesia- A randomised clinical trial
Introduction and Aim: The cardiovascular changes to airway manipulation like tachycardia and hypertension occur secondary to catecholamine secretion. These changes make less effects on normal patients but can be hazardou...