Klippel-Feil syndrome for scoliosis surgery: management of a potentially difficult paediatric airway, and report of false-negative motor-evoked potential

被引：1
作者：
Tan, P. C. S. [1 ]
Mohtar, S. [1 ]
Esa, N. [1 ]
机构：
[1] Sarawak Gen Hosp, Dept Anaesthesiol & Intens Care, Kuching, Sarawak, Malaysia
来源：
SOUTHERN AFRICAN JOURNAL OF ANAESTHESIA AND ANALGESIA | 2012年 / 18卷 / 02期
关键词：
Klippel-Feil syndrome; difficult airway management; scoliosis surgery; neurophysiological monitoring; false-negative motor-evoked potential; somatosensory-evoked potential;
D O I：
10.1080/22201173.2012.10872839
中图分类号：
R614 [麻醉学];
学科分类号：
100217 ;
摘要：
A six-year-old girl with Klippel-Feil syndrome and throcacolumbar scoliosis was scheduled for growing rod insertion. Inhalational induction and tracheal intubation were carried out, with her neck in a neutral position. However, the patient woke up with paraplegia, despite normal intraoperative neurophysiological monitoring, which necessitated immediate revision surgery. Intravenous induction was performed for the second surgery. We discuss the management of a potentially difficult paediatric airway, and report on false-negative motor-evoked potential.
引用
收藏
页码：124 / 127
页数：4
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