Stickler Syndrome: Anaesthetic Considerations - A Case Report.

Heisnam, Ibemhal; S, Thoibahenba Singh; K, Upendra Singh; P, Pritam Singh; L, Chandramani Singh

doi:10.14260/jemds/57

Cited by 2 publications

(2 citation statements)

References 6 publications

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“…Debido a las alteraciones craneofaciales aunadas a los cambios fisiológicos propios del embarazo, el SS se asocia a una vía aérea difícil predicha (8,13) , por lo que el manejo anestésico recomendado es evitar la anestesia general por las dificultades que se pueden encontrar al abordar la vía aérea (12) . Nuestra paciente fue manejada mediante bloqueo peridural debido a que la atención del trabajo de parto así lo requiere y por lo previamente señalado.…”

Section: Discussionunclassified

“…Debido a que en estos pacientes se prevé una vía aérea difícil por las alteraciones craneofaciales, se recomienda la anestesia neuroaxial y/o regional en ausencia de contraindicación (11) . Respecto al manejo en la paciente embarazada con SS, se recomienda evitar la anestesia general (12) por el mismo motivo, aunado a los cambios fisiológicos propios del embarazo (13) . A pesar de ser la conectivopatía hereditaria más común, no existe literatura médica relacionada a la anestesia neuroaxial en este tipo de pacientes.…”

Section: Introductionunclassified

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Analgesia obstétrica en la paciente con síndrome de Stickler: un reporte de caso y revisión de la literatura

Sánchez-Vásquez¹,

García-Bravo²,

Zumaya-Mancilla³

et al. 2021

Revista Mexicana De Anestesiología

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Section: Discussionunclassified

Section: Introductionunclassified

Analgesia obstétrica en la paciente con síndrome de Stickler: un reporte de caso y revisión de la literatura

Sánchez-Vásquez¹,

García-Bravo²,

Zumaya-Mancilla³

et al. 2021

Revista Mexicana De Anestesiología

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Stickler Syndrome: Airway Complications in a Case Series of 502 Patients

Zimmermann

Stubbs

Richards

et al. 2019

Anesthesia &Amp; Analgesia

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Background: Patients with Stickler syndrome often require emergency surgery and are often anesthetized in nonspecialist units, typically for retinal detachment repair. Despite the occurrence of cleft palate and Pierre-Robin sequence, there is little published literature on airway complications. Our aim was to describe anesthetic practice and complications in a nonselected series of Stickler syndrome cases. To our knowledge, this is the largest such series in the published literature. METHODS: We retrospectively identified patients with genetically confirmed Stickler syndrome who had undergone general anesthesia in a major teaching hospital, seeking to identify factors that predicted patients who would require more than 1 attempt to correctly site an endotracheal tube (ETT) or supraglottic airway device (SAD). Patient demographics, associated factors, and anesthetic complications were collected. Descriptive statistical analysis and logistic regression modeling were performed. RESULTS: Five hundred and two anesthetic events were analyzed. Three hundred ninety-five (92.7%) type 1 Stickler and 63 (96.9%) type 2 Stickler patients could be managed with a single attempt of passing an ETT or SAD. Advanced airway techniques were required on 4 occasions, and we report no major complications. On logistic regression, modeling receding mandible ( P = .0004) and history of cleft palate ( P = .0004) were significantly associated with the need for more than 1 attempt at airway manipulation. CONCLUSIONS: The majority of Stickler patients can be anesthetized safely with standard management. If patients have a receding mandible or history of cleft, an experienced anesthetist familiar with Stickler syndrome should manage the patient. We recommend that patients identified to have a difficult airway wear an alert bracelet.

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Stickler Syndrome: Anaesthetic Considerations - A Case Report.

Cited by 2 publications

References 6 publications

Analgesia obstétrica en la paciente con síndrome de Stickler: un reporte de caso y revisión de la literatura

Analgesia obstétrica en la paciente con síndrome de Stickler: un reporte de caso y revisión de la literatura

Stickler Syndrome: Airway Complications in a Case Series of 502 Patients

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