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Anaesthesia in an infant with Rubinstein‐Taybi syndrome
Author(s) -
CRITCHLEY L. A. H.,
GIN T.,
STUART J. C.
Publication year - 1995
Publication title -
anaesthesia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.839
H-Index - 117
eISSN - 1365-2044
pISSN - 0003-2409
DOI - 10.1111/j.1365-2044.1995.tb04511.x
Subject(s) - medicine , rubinstein–taybi syndrome , inguinal hernia , anesthesia , intubation , craniofacial , surgery , crying , general anaesthesia , pediatrics , hernia , dermatology , psychiatry
Summary The anaesthetic management of a 5‐month‐old Chinese infant with Rubinstein‐Taybi syndrome requiring bilateral inguinal hernia repairs is described. This is a rare congenital syndrome characterised by mental retardation, broad thumbs and first toes, craniofacial abnormalities, recurrent respiratory infections and, in one third of cases, congenital heart disease. General anaesthesia combined with caudal block was successfully used. The main complications encountered were minor difficulties with intubation and easily precipitated episodes of oxygen desaturation.