About the Journal | Editorial Board | Instructions to Contributors | Submission & Review | Advertise with Us | Subscribe to E- Alerts
Sitemap | Feedback
Advanced search
Journal of Case Reports
A Case of Apert Syndrome for Skull Base Repair following Surgery for Craniosynostosis

alcohol and mirtazapine

mirtazapine and alcohol bluelight blog.globalmamas.org
Rajat Dadheech, Usha Bafna, Sunita Meena, Neelam Dogra
From the Department of Anaesthesiology, SMS Medical College and Attached Group of Hospitals, Jaipur (Rajasthan), India.
Corresponding Author:
Dr. Rajat Dadheech
Email: rajatdadheech.rd@gmail.com
Received: 24-JUN-2014 Accepted: 22-AUG-2014 Published Online: 25-SEP-2014
DOI: http://dx.doi.org/10.17659/01.2014.0092
Abstract
Apert syndrome is a rare genetic disorder characterised by craniofacial and limb abnormalities. These patients have to undergo multiple surgeries. One of these is cranial vault repair which is done for craniofacial anomalies. These cases pose a challenge to the anaesthesiologists not only because of a difficult airway but also problems like bronchospasm, increased secretion and even a difficulty in securing intravenous access. We present case report of a patient who had undergone cranial vault repair and subsequently developed CSF rhinorrhea and was planned for endonasal correction of skull base defect.  Mask ventilation was difficult but intubation was relatively easy. The patient was operated in supine position with 15 degree head up position under hypotensive conditions to minimise bleeding and keep ICP under control. The intraoperative period was uneventful. Patient recovered completely from anaesthesia and was shifted to ICU.
Keywords : Hypertelorism, Macroglossia, Acrocephalosyndactylia, Airway Obstruction, Intubation.
Article Options
FULL TEXT
ABSTRACT
PDF
PRINTER FRIENDLY VERSION
Search PubMed for
Search Google Scholar for
Article Statistics
Bookmark and Share