Volatil induction and maintenance of anesthesia with sevoflurane in apert’s syndrome

Apert’s syndrome is a congenital disorder characterized by cranyositosis, maxillary hypoplasia and syndactyly accompanied by cardiac, gastrointestinal and genitourinary defects. General anesthesia frequently applied to pediatric patients with Apert’s syndrome for orthopedic surgeries. In this paper, we reported our general anesthesia application to a 3-months female case diagnosed with Apert’s syndrome. We used sevoflurane 1-8 % and fentanyl (1 meg.kg-1) for anesthesia induction and maintained anesthesia with nitrous oxide 40 %, oxygen, and sevoflurane 1-3 % after introducing laryngeal mask airway (LMA). There were not seen any problems during anesthesia.

Apert sendromunda anestezi indüksiyonu ve idamesinde sevofluran uygulamasý

Apert sendromu kraniyosinostoz, maksiller hipoplazi ve sindaktili ile karakterize, beraberinde kardiak, gastrointestinal, genitoüriner ve merkezi sinir sistemi patolojilerinin görüldüðü konjenital bir hastalýktýr. Apert sendromu’ lu pediatrik olgulara, sýklýkla ortopedik ameliyatlar için genel anestezi uygulanýr. Bu makalede, Apert sendromu tanýsý konulmuþ 3 aylýk kýz olguda larengeal make (LMA) ile genel anestezi uygulamamýzý sunduk. Anestezi indüksiyonu, % 1-8 sevofluran ve fentanil (1 mkg.kg-1), hava yolu larengeal maske, anestezi idamesi % 40 nitroz oksit-oksijen karýþýmý ve % 1-3 sevofluran ile saðlandý. Gerek indüksiyon, gerekse idamede herhangi bir sorun geliþmedi.