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Revista mexicana de anestesiología

versión impresa ISSN 0484-7903

Resumen

SANCHEZ-SANCHEZ, Luz María; MORGADO-PEREZ, Jesús; GUTIERREZ-MENDOZA, Gustavo Edén  y  NISSEN-TORRES, Thor Gustavo. Anesthetic complications in children with mucopolysaccharidosis. Rev. mex. anestesiol. [online]. 2021, vol.44, n.3, pp.184-189.  Epub 04-Oct-2021. ISSN 0484-7903.

Introduction:

A high percentage of mucopolysaccharidosis patients require surgery at some point. Common features like respiratory limitations and cardiovascular disease pose a high anesthetic risk. We describe the prevalence of anesthetic complications in our institution.

Material and methods:

Patients’ medical history and reported surgery data from 18 eligible records were reviewed from a total of 29 mucopolysaccharidosis diagnosed children registered between the years 1999 to 2019 at a hospital in Mexico.

Results:

Median age was 11 years. 12 patients were type I, two type II, three type IV, and one type VI. Intravenous premedication was administered in 69.5% and induction was intravenous in 91.3% of the surgical procedures. Orotracheal intubation was the first attempted anesthetic method in 47.8% and a laryngeal mask in another 47.8%. Bronchospasm was the most frequent complication in 17.4% followed by difficult intubation in 13.1%.

Conclusions:

Bronchospasm was the most prevalent complication. A higher Cormack-Lehane grade was primarily related. The most prevalent concomitant risk factors were short neck and restrictive chest rendering airway management difficult in comparison to the general population.

Palabras llave : Mucopolysaccharidosis; airway management; anesthetic complications.

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