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Indian Journal of Anesthesia and Analgesia

Volume  4, Issue 3, Jul-Sep 2017, Pages 902-905
 

Case Report

Anaesthetic Management of a Case of Osteogenesis Imperfecta with Fracture of Femur

Gnani Narasimha B.C.1 , Bentur Priyadarshini M.2, Muhammed Hassaan1, M.V. Naveen1

1Post Graduate Students 2Associate Professor, Dept. of Anaesthesiology, JJM Medical College, Davangere, Karnataka 577004, India.

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DOI: http://dx.doi.org/10.21088/ijaa.2349.8471.4317.59

Abstract

Osteogenesis imperfecta (OI) is a rare, genetically inherited syndrome involving connective tissues which leads to fragile bones, short stature, disorders of other organs and body systems. Children with OI are more susceptible for bone fractures. OI poses various anaesthetic challenges like difficult intubation, problems with positioning, tendency to develop malignant hyperthermia, coagulopathy, cardiovascular and pulmonary abnormalities and spinal abnormalities. We report a case of 9 year old male boy with OI type IV, presented with fracture shaft of femur, posted for intra medullary nailing. It was successfully managed under spinal anaesthesia.


Keywords : Osteogenesis Imperfect; Difficult Intubation; Fracture Femur; Spinal Anaesthesia. 
Corresponding Author : Narasimha Gnani B.C., PG Student, Dept. of Anaesthesiology, JJM Medical College, Davangere, Karnataka 577004, India.