ISSN:
1460-9592
Quelle:
Blackwell Publishing Journal Backfiles 1879-2005
Thema:
Medizin
Notizen:
Introduction Children with Apert syndrome (acrocephalosyndactyly) require anaesthesia for a variety of diagnostic and surgical procedures. These range from non-invasive radiological imaging to major craniofacial interventions.Recent reports have suggested that patients with Apert syndrome have an incidence of peri-operative respiratory complication in the order of 10% of anaesthetics administered.Over the fast ten years 73 patients with Apert syndrome have been treated in our institution. Each child receives approximately 10 anaesthetics during the course of their treatment. Anecdotal evidence suggested that the peri-operative complication rate may be significantly lower than 10% and that children with Apert syndrome may therefore be falsely labelled as being high risk. A formal analysis of the incidence of complications was therefore undertaken.Methods Following local Ethical Committee approval, a retrospective case note review was performed of a series of 73 patients with Apert syndrome. Information was recorded relating to each anaesthetic administered over the period from 1991 to 2001. This information included details of pre-operative status, anaesthetic technique employed, operative procedure, peri-operative observations recorded, the patient's post-operative course and the occurrence of documented respiratory complications.Analysis of results will be presented.
Materialart:
Digitale Medien
URL:
http://dx.doi.org/10.1046/j.1460-9592.2002.10271_2.x
