Anesthetic Management in an Adult Case of Prader-Willi Syndrome Associated with Restrictive Ventilatory Impairment.

DOI 3 Citations 10 References
  • TAKAHASHI Shinichiro
    Department of Anesthesiology, Fukushima Medical University School of Medicine
  • NAKANE Masaki
    Department of Anesthesiology, Fukushima Medical University School of Medicine
  • HARADA Manabu
    Department of Anesthesiology, Fukushima Medical University School of Medicine
  • SUZUKI Masao
    Department of Anesthesiology, Fukushima Medical University School of Medicine
  • OTSUKI Manabu
    Department of Anesthesiology, Fukushima Medical University School of Medicine
  • MURAKAWA Masahiro
    Department of Anesthesiology, Fukushima Medical University School of Medicine

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  • Ｐｒａｄｅｒ‐Ｗｉｌｌｉ症候群患者の麻酔経験　　拘束性換気障害を呈した成人例
  • 拘束性換気障害を呈した成人例

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Abstract

We report a case of Prader-Willi syndrome in a 31-year-old man with marked restrictive ventilatory impairment who underwent ophthalmologic surgery. Although upper airway obstruction occurred following intravenous administration of fentanyl, it was easily improved by mask ventilation. Anesthesia was maintained with sevoflurane and the operation was performed successfully. A study suggests that adult patients with Prader-Willi syndrome also have abnormalities in pulmonary function due to respiratory muscle weakness. Therefore special attention must be paid during anesthetic management even in adult patients with Prader-Willi syndrome.

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