Home > Journals > Indian Journal of Anesthesia and Analgesia

Indian Journal of Anesthesia and Analgesia

Submit your article Read this Journals View all journals
Full Text (PDF)
Case Report

Anaesthetic Management of a Patient with Apert Syndrome

Prashant Rai, Student, Department of Anesthesiology and Critical care, Rural Medical College, P.I.M.S. Loni, TalRahta, DistAhmednagar, Maharashtra 413736, India. , Prashant Rai1 , G. Anjana Purnima1 , Manju Jha Kashyap2 , Navnath Jondhale3 , Sushane Hakhoo1

Author Information

Licence:



Indian Journal of Anesthesia and Analgesia 4(4):p 1076-1079, October-December 2017. | DOI: http://dx.doi.org/10.21088/ijaa.2349.8471.4417.27

How Cite This Article:

Timeline

Received : N/A         Accepted : N/A          Published : N/A

Abstract

Introduction: Apert syndrome is a type of acrocephalosyndactilia that includes several abnormalities. Number of coexisting conditions should be taken under consideration while giving anaesthesia. We report our experience in the anaesthetic management of case of Apert syndrome, referred to us for syndactyly release in both upper limbs. Case Report: A 13months male child with Apert syndrome, weighing 7.29 kg, scheduled for syndactyly release of both upper limbs (fusion of digit 2 to 4), had facial dysmorphism with macroglossia, craniosynostosis, short nose with widely depressed nasal bridge with bulbous tip, proptosis, wide set eyes, mandibular retraction, shield chest deformity (pectus excavatum), limited mouth opening (M.P. grading III), high arched palate, history of sleep apnoea, patent foramen ovale with left to right shunt, brachycephaly and mild ventriculomegaly. Anaesthetic Management: Case was managed under general anaesthesia with intubation in spontaneously breathing anaesthetised patient without neuromuscular blocking agents. Awake extubation was done with no intraoperative or postoperative complications. Discussion: Anaesthetic management of a patient with Apert syndrome may be challenging. The anaesthesiologist must be ready for airway problems, intubation difficulties, obtaining a good mask seal, difficult IV access. Raised intra cranial pressure, sleep apnea, possibility of mental retardation and other associated anomalies should always be considered. Conclusion: Ever vigilant Anesthesiologist who has armoured himself with all the potential problems likely to arise, in the management of children with this rare genetic syndrome (who may need repetitive surgeries), will make all the difference in the successful outcome of these patients.

References

No records found.


About this article

Cite this article

Licence:



Received Accepted Published
N/A N/A N/A
DOI: http://dx.doi.org/10.21088/ijaa.2349.8471.4417.27

Keywords

Apert Syndrome; Acrocephalosyndactilia; Macroglossia; Craniosynostosis. 

Article Level Metrics

Last Updated

Monday 13 July 2026, 11:10:06 (IST)

5651

Accesses

3
678
00

Citations


NA
NA
NA

Download citation


Article Keywords

Keyword Highlighting

Highlight selected keywords in the article text.


Timeline

Received N/A
Accepted N/A
Published N/A

licence




Access this article

Reprint Order Form
Buy this Article
Institutional Subscriptions

Share