Anaesthetic considerations in Kartagener's syndrome – a case report

Mathew, Paul; Sadera, Girendra; Sharafuddin, S.; Pandit, Bhagya Narayan

doi:10.1111/j.0001-5172.2004.00357.x

Cited by 23 publications

(24 citation statements)

References 3 publications

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“…Thus, preoperative consultation with otolaryngologists regarding the treatment is mandatory. Regional anesthesia may be preferable in intractable cases, as previously reported in the anesthetic management of patients with Kartagener's syndrome [9].…”

Section: Discussionmentioning

confidence: 72%

Pulmonary atelectasis manifested after induction of anesthesia: a contribution of sinobronchial syndrome?

et al. 2007

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A 31-year-old man underwent general anesthesia for sinus surgery. Anesthesia was induced with midazolam and butorphanol, and an endotracheal tube was orally placed with a bronchoscope, due to difficulty with temporomandibular joint opening. Ventilation difficulty and increased peak inspiratory pressure were noticed shortly after tracheal intubation, and bronchoscopy was performed for diagnosis. The bronchi were filled with a clear mucous secretion. Removal of the secretion improved respiration and decreased the peak inspiratory pressure. A chest roentgenogram taken prior to extubation showed right upper lobe atelectasis. A diagnosis of sinobronchial syndrome was made postoperatively. The etiology of the acutely developed atelectasis was unclear. However, the latent syndrome may have induced excessive airway secretion with stimuli such as endotracheal intubation.

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Section: Discussionmentioning

confidence: 72%

Pulmonary atelectasis manifested after induction of anesthesia: a contribution of sinobronchial syndrome?

et al. 2007

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“…Viscous secretions are reported to cause sudden hypoxia by blocking the main branches of the bronchus (6). Antisepsis during any intervention, mainly for epidural, central venous catheterization, and aspiration of the endobronchial tube is vital because of the abnormal neutrophil chemotaxis in these patients (8). Although all possible precautions are taken, infections, respiratory infections can occur and increase morbidity and hospital stay.…”

Section: Discussionmentioning

confidence: 99%

Anaesthetic Management of a Patient with Synchronous Kartagener Syndrome and Biliary Atresia

Kendigelen¹,

Tütüncü²,

Erbabacan³

et al. 2015

Turk J Anesth Reanim

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Kartagener sendromu primer siliyer diskineziye eşlik eden sinü-zit, bronşektazi ve situs inversus ile karakterize otozomal resesif geçen bir hastalıktır. Ekstrahepatik biliyer atrezi ile Kartagener sendromunun birlikteliği oldukça nadirdir. Kartagener sendromlu hastalar, preoperatif solunum ve kardiyovasküler sistem açısın-dan özel olarak hazırlanmalıdır. Perioperatif dönemde uygun bir anestezi yönetimiyle, siliyer işlev bozukluğunun neden olabileceği problemlerden sakınılabilinir. Ayrıca rejyonal anestezi metotları ile etkili ağrı kontrolü pulmoner komplikasyon risklerini azaltmaktadır. Biliyer atrezili bebekler ne kadar erken ameliyat edilir ise hayatta kalma olasılıkları o kadar artmaktadır. Karaciğer işlev bozukluğu ve plazma protein miktarının azalması ilaçların farmakokinetiği açısından önemlidir. Her ikisi de oldukça nadir hastalıklar olan eş zamanlı Kartagener sendromlu ve biliyer atrezili olgumuzda anestezi yönetimi değerlendirilmiştir.Anahtar Kelimeler: Kartagener sendromu, bilier atrezi, anestezi, infant Kartagener syndrome is an autosomal recessive disorder characterized by primary ciliary dyskinesia accompanied by sinusitis, bronchiectasis, and situs inversus. Synchronous extrahepatic biliary atresia and Kartagener syndrome are very rare. During the preoperative preparation of patients with Kartagener syndrome, special attention is required for the respiratory and cardiovascular system. It is important to provide suitable anaesthetic management to avoid problems because of ciliary dysfunction in the perioperative period. Further, maintaining an effective pain control with regional anaesthetic methods reduces the risk of pulmonary complications. Infants with biliary atresia operated earlier have a higher chance of survival. Hepatic dysfunction and decrease in plasma proteins are important for the kinetics of drugs. In this presentation, the anaesthetic management of patients with synchronous Kartagener syndrome and biliary atresia, both of which are rare diseases, is evaluated.Keywords: Kartagener syndrome, biliary atresia, anaesthesia, infant Abstract / Özet

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“…3,4 The association of situs inversus totalis with syndromes such as Kartagener's syndrome, cardiac anomalies, spleen malformations and other such clinical entities makes the clinical scenario extremely challenging for the concerned anesthesiologist. 5 The normal development requires a 270 degree counter clockwise rotation that yields the normal anatomy. In situs inversus totalis, the 270-degree rotation is in the clockwise direction.…”

Section: Introductionmentioning

confidence: 99%

Anesthetic management of a patient with situs inversus posted for laparoscopic cholecystectomy

Hazarika

Das

2017

Int J Res Med Sci

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Situs inversus totalis is a rare congenital visceral malrotation anomaly that results from disturbances in establishment of left-right asymmetry. It is an autosomal recessive condition, in which organs are transposed from their normal location to the opposite side of the body and the predicted incidence is one in 10, 000 among the general population. In a patient with situs inversus totalis, not just the diagnosis of any acute abdomen pathology is difficult but equally challenging is the anesthetic management during the respective surgical procedure. We are reporting a patient who had situs inversus totalis and was operated for laparoscopic cholecystectomy under general anesthesia, and endotracheal tube as an airway conduit. Though the problems related to such patients are mainly of surgical feasibility, an anesthesiologist must be aware of the associated problems of both, situs inversus and the surgical procedures. The present case report lays an emphasis on the potential difficulties during anesthetic management and its various implications in a remote area in North East India with resource limitations. To the best of our knowledge, we report the first case from a remote are in North East India of a successful laparoscopic cholecystectomy in a patient with situs inversus totalis under general anesthesia which was uneventful.

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Anaesthetic considerations in Kartagener's syndrome – a case report

Cited by 23 publications

References 3 publications

Pulmonary atelectasis manifested after induction of anesthesia: a contribution of sinobronchial syndrome?

Pulmonary atelectasis manifested after induction of anesthesia: a contribution of sinobronchial syndrome?

Anaesthetic Management of a Patient with Synchronous Kartagener Syndrome and Biliary Atresia

Anesthetic management of a patient with situs inversus posted for laparoscopic cholecystectomy

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