| CASE REPORT |
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| Year : 2021 | Volume
: 16
| Issue : 3 | Page : 255-258 |
Perioperative management of a child with Klippel–Feil syndrome and severe uncorrected aortic stenosis undergoing cervical spine stabilization
Bhagya Ranjan Jena1, Rajeeb Kumar Mishra2, Surya Kumar Dube1, Girija Prasad Rath1, Vishwas Malik3, Hitesh Kumar Gurjar4
1 Department of Neuroanaesthesiology and Critical Care, Neurosciences Centre, All India Institute of Medical Sciences (AIIMS), New Delhi, India
2 Department of Neuroanaesthesiology and Neurocritical Care, National Institute of Mental Health and Neurosciences (NIMHANS), Bengaluru, India
3 Department of Cardiac Anaesthesia, All India Institute of Medical Sciences (AIIMS), New Delhi, India
4 Department of Neurosurgery, All India Institute of Medical Sciences (AIIMS), New Delhi, India
Correspondence Address:
Dr. Girija Prasad Rath
Department of Neuroanaesthesiology and Critical Care, Neurosciences Centre, A.I.I.M.S., New Delhi 110029
India
 Source of Support: None, Conflict of Interest: None  | Check |
DOI: 10.4103/jpn.JPN_102_20
Severe stenotic aortic valve poses serious anesthetic challenges because of the fixed cardiac output and complex hemodynamics. The challenges magnify in the presence of a difficult airway which not only puts the airway at risk but also disturbs the hemodynamics, which can negatively impact the patient outcome. Moreover, prone positioning, intraoperative hemodynamics, recovery, and extubation are equally challenging for management. This case report highlights the perioperative management of a child with severe uncorrected aortic stenosis and Klippel–Feil syndrome posted for cervical spinal stabilization under anesthesia.
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