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CASE REPORT
Year : 2014  |  Volume : 58  |  Issue : 4  |  Page : 452-455

Anaesthesia for emergency ventriculo-peritoneal shunt in an adolescent with Noonan's syndrome


Department of Anaesthesia and Intensive Care, Lady Hardinge Medical College, New Delhi, India

Correspondence Address:
Dr. Tanvir Samra
Lady Hardinge Medical College, Shaheed Bhagat Singh Road, New Delhi - 110 001
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0019-5049.138991

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A 15-year-old boy with Noonan's syndrome was admitted for emergency ventriculo-peritoneal shunt. Intraoperative course was complicated by hypertensive urgency, which was effectively managed with high doses of esmolol (500 μg/kg/min). Difficult airway was anticipated due to presence of webbed neck and facial dysmorphism. Tracheal intubation was however successfully accomplished with the aid of a bougie. This report thus highlights the unique anaesthetic problems encountered during anaesthetic management of such a case, which is worth sharing.


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