Anesthesia Management of a Child with Mosaic Trisomy 22 for Adenotonsillectomy Surgery
Mosaic trisomy 22 is a very rare autosomal anomaly with variability of organ malformations and developmental defects. There are fewer than 23 reports in the literature of live born children describing their neurodevelopmental outcome. Sometimes in clinical practice, anesthesiologists confront a rar...
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| Format: | Article |
| Language: | English |
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Tehran University of Medical Sciences
2024-07-01
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| Series: | Archives of Anesthesia and Critical Care |
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| Online Access: | https://aacc.tums.ac.ir/index.php/aacc/article/view/954 |
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| author | Masoud Tarbiat Mohammad Hossein Bakhshaei Rohollah Abbasi Mahmoud Rezaei |
| author_facet | Masoud Tarbiat Mohammad Hossein Bakhshaei Rohollah Abbasi Mahmoud Rezaei |
| author_sort | Masoud Tarbiat |
| collection | DOAJ |
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Mosaic trisomy 22 is a very rare autosomal anomaly with variability of organ malformations and developmental defects. There are fewer than 23 reports in the literature of live born children describing their neurodevelopmental outcome. Sometimes in clinical practice, anesthesiologists confront a rare clinical case with no paper published on it or having previous experience about it. Therefore, they face a serious challenge in anesthesia managing and selecting drugs for them (like our case). So, we reported our experience about a child (aged 8) with mosaic trisomy 22 who had anesthesia for adenotonsillectomy surgery. Previously, he had a history of seizure and variety of surgeries for congenital anomalies. He also had been treated for congenital hypothyroidism and gastroesophageal reflux disease. The anesthesia performed with midazolam, fentanyl, sodium thiopental, atracurium and isoflurane in O2:N2o (50:50). The operation was uneventful and he was completely awakened in recovery room. This report emphasizes that in some situation, this approach could be used safely for anesthesia management in these patients.
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| format | Article |
| id | doaj-art-d95c8cced51e48f6bd8adc6a47833ea4 |
| institution | OA Journals |
| issn | 2423-5849 |
| language | English |
| publishDate | 2024-07-01 |
| publisher | Tehran University of Medical Sciences |
| record_format | Article |
| series | Archives of Anesthesia and Critical Care |
| spelling | doaj-art-d95c8cced51e48f6bd8adc6a47833ea42025-08-20T02:20:58ZengTehran University of Medical SciencesArchives of Anesthesia and Critical Care2423-58492024-07-0110Supp. 2Anesthesia Management of a Child with Mosaic Trisomy 22 for Adenotonsillectomy SurgeryMasoud Tarbiat0Mohammad Hossein Bakhshaei1Rohollah Abbasi2Mahmoud Rezaei3Department of Anesthesiology, School of Medicine, Hamadan University of Medical Sciences, Hamadan, Iran.Department of Anesthesiology, School of Medicine, Hamadan University of Medical Sciences, Hamadan, Iran.Department of Otolaryngology Head and Neck Surgery, School of Medicine, Hamadan University of Medical Sciences, Hamadan, Iran.Department of Anesthesiology, School of Medicine, Hamadan University of Medical Sciences, Hamadan, Iran. Mosaic trisomy 22 is a very rare autosomal anomaly with variability of organ malformations and developmental defects. There are fewer than 23 reports in the literature of live born children describing their neurodevelopmental outcome. Sometimes in clinical practice, anesthesiologists confront a rare clinical case with no paper published on it or having previous experience about it. Therefore, they face a serious challenge in anesthesia managing and selecting drugs for them (like our case). So, we reported our experience about a child (aged 8) with mosaic trisomy 22 who had anesthesia for adenotonsillectomy surgery. Previously, he had a history of seizure and variety of surgeries for congenital anomalies. He also had been treated for congenital hypothyroidism and gastroesophageal reflux disease. The anesthesia performed with midazolam, fentanyl, sodium thiopental, atracurium and isoflurane in O2:N2o (50:50). The operation was uneventful and he was completely awakened in recovery room. This report emphasizes that in some situation, this approach could be used safely for anesthesia management in these patients. https://aacc.tums.ac.ir/index.php/aacc/article/view/954Trisomy 22 mosaicism syndromeAnesthesiaAtrial Septal DefecthypothyroidismCleft Palate |
| spellingShingle | Masoud Tarbiat Mohammad Hossein Bakhshaei Rohollah Abbasi Mahmoud Rezaei Anesthesia Management of a Child with Mosaic Trisomy 22 for Adenotonsillectomy Surgery Archives of Anesthesia and Critical Care Trisomy 22 mosaicism syndrome Anesthesia Atrial Septal Defect hypothyroidism Cleft Palate |
| title | Anesthesia Management of a Child with Mosaic Trisomy 22 for Adenotonsillectomy Surgery |
| title_full | Anesthesia Management of a Child with Mosaic Trisomy 22 for Adenotonsillectomy Surgery |
| title_fullStr | Anesthesia Management of a Child with Mosaic Trisomy 22 for Adenotonsillectomy Surgery |
| title_full_unstemmed | Anesthesia Management of a Child with Mosaic Trisomy 22 for Adenotonsillectomy Surgery |
| title_short | Anesthesia Management of a Child with Mosaic Trisomy 22 for Adenotonsillectomy Surgery |
| title_sort | anesthesia management of a child with mosaic trisomy 22 for adenotonsillectomy surgery |
| topic | Trisomy 22 mosaicism syndrome Anesthesia Atrial Septal Defect hypothyroidism Cleft Palate |
| url | https://aacc.tums.ac.ir/index.php/aacc/article/view/954 |
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