Services on Demand
Journal
Article
Indicators
- Cited by SciELO
- Access statistics
Related links
- Similars in SciELO
Share
Revista mexicana de anestesiología
Print version ISSN 0484-7903
Abstract
ALARCON-ALMANZA, Juan Manuel; VIAZCAN-SANCHEZ, Esthela de la Luz and BARRIENTOS-ZUNIGA, Estefanía. Complications related to the anesthetic management of pediatric patients with osteogenesis imperfecta undergoing orthopedic procedures. Rev. mex. anestesiol. [online]. 2023, vol.46, n.3, pp.173-178. Epub Sep 08, 2023. ISSN 0484-7903. https://doi.org/10.35366/111072.
Introduction:
osteogenesis imperfecta is a systemic disorder of connective tissue, characterized by decreased bone density and variability of bone fragility.
Material and methods:
a retrospective, observational, descriptive study of consecutive cases was carried out, whose main objective was to determine the complications related to the anesthetic procedure in pediatric patients with a diagnosis of osteogenesis imperfecta undergoing orthopedic procedures at the «Federico Gómez» Children’s Hospital of Mexico, through the review of clinical records. Patients diagnosed with osteogenesis imperfecta, under 18 years of age, undergoing elective orthopedic surgery, were included. Measures of central tendency and dispersion were used, as well as tests of various hypotheses.
Results:
86 anesthetic records were included. Most of the type III of osteogenesis imperfecta. Balanced general anesthesia was the most frequent technique with orotracheal intubation. Of the reported complications, difficult intubation was found in two cases (2.3%). In six cases (6.9%) ventilation was considered difficult. Another of the complications reported was bleeding, finding bleeding greater than expected in 33 cases (38.4%).
Conclusions:
the anesthesia required in patients with osteogenesis imperfecta was carried out with a minimum of complications.
Keywords : osteogenesis imperfecta; anesthetic management; anesthetic complications.