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Case Report

Ann Med Res. 2011; 18(4): 278-280


Anesthetic Management of Beckwith-Wiedemann Syndrome Case: Report

 

M. Ali Erdoğan*, Aytaç Yücel**, Nizamettin Bucak**, Mukadder Şanlı**, Zekine Begeç**, M. Özcan Ersoy**

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Abstract


 

Beckwith-Wiedemann syndrome consists of various abnormalities, such as exomphalos, macroglossia, hypoglcemia, visceromegaly, omphalocele, gigantism. Patients with Beckwith-Wiedemann syndrome frequently require surgical intervention during infant period. Common problems associated with anesthetic management of Beckwith-Wiedemann syndrome are difficult airway and hypoglycemia. Macroglossia might cause difficult ventilation and intubation for that reason preparation for airway difficulty should be made before induction. Intraoperative plasma glucose monitoring is particularly important to prevent the neurologic sequelae. In this presentation, we addressed the use of laryngeal mask may be an alternation to the endotracheal tube patients with Beckwith-Wiedemann which consist potentially difficult airway anatomy.

Key Words: Beckwith-Wiedemann Syndrome; Anesthesia, Difficult Airway; Laryngeal Mask.






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