徳島大学 教育・研究者情報データベース(EDB)

1. (日) 中村 明代

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2. 川人 伸次([徳島大学.大学院医歯薬学研究部.歯学域.口腔科学部門.臨床歯学系.歯科麻酔科学])

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3. 片山 俊子

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4. 河野 崇

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5. (日) 新田 一仁

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6. 乾 大資

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7. 北畑 洋

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8. 大下 修造

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(英) Bronchospasm during anesthesia in a patient with Pena-Shokeir syndrome

(日) 気管支痙攣を繰り返したPena-Shokeir症候群の麻酔管理

(英) A 3-month-old boy with Pena-Shokeir syndrome underwent tracheotomy under general anesthesia. Patients with this syndrome may present anesthetic problems involving difficulties in tracheal intubation, possibilities of malignant hyperthermia, as well as perioperative respiratory complications related to hypoplasia of the lung. General anesthesia was induced and maintained with sevoflurane (2-3%) and nitrous oxide (0-50%) in oxygen (50-100%). The patient developed bronchospasm during tracheotomy. Atropine and epinephrine were administered intravenously and 5% sevoflurane was inhaled. The bronchospasm was improved gradually and surgery was successfully finished. Pena-Shokeir syndrome is an uncommon disease first reported by Pena & Shokeir in 1974 and characterized by congenital multiple arthrogryposis, characteristic facies, camptodactyly and pulmonary hypoplasia. In the perioperative management for a patient with Pena-Shokeir syndrome, special attention should be paid to abnormalities in the upper and lower respiratory systems, especially bronchospasm.

1. (日) 致死性先天奇形
2. (日) 多発性関節拘縮
3. (日) 呼吸管理
4. (英) Pena-Shokeir syndrome
5. (英) lethal congenital anomalies
6. (英) multiple arthrogryposis
7. (英) respiratory management
8. (英) bronchospasm

1. (英) Article.PublicationTypeList.PublicationType: Case Reports

2. (英) Article.PublicationTypeList.PublicationType: English Abstract

3. (英) Article.PublicationTypeList.PublicationType: Journal Article