Kim JY, Jeong K, Han KS, Park JE, Kim MG, Jun MR. Anesthetic considerations of Joubert syndrome in patients with mitochondrial disease - A case report.
Anesth Pain Med (Seoul) 2021;
16:158-162. [PMID:
33845552 PMCID:
PMC8107256 DOI:
10.17085/apm.20091]
[Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/26/2020] [Accepted: 02/05/2021] [Indexed: 11/23/2022] Open
Abstract
Background
Joubert syndrome and mitochondrial disease are rare congenital diseases in
which a wide range of symptoms affects multiple organs. Patients with these
diseases present characteristic symptoms related to the musculoskeletal,
respiratory, and neurological systems, which make it difficult for
anesthesiologists to manage the patient’s airway and choose
appropriate anesthetic drugs.
Case
A 13-year-old male patient with Joubert syndrome and mitochondrial disease
underwent elective surgery to insert a continuous ambulatory peritoneal
dialysis catheter. Anesthesia was induced and maintained with propofol,
remifentanil, and rocuronium. An I-gel was inserted to secure the airway;
however, the fitting did not work properly, so the patient was intubated.
The operation was completed without any major problems, and the intubated
patient was transferred to the intensive care unit.
Conclusions
Anesthesiologists should determine the method of anesthesia and prepare for
unintended complications based on a full understanding of these congenital
diseases.
Collapse