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CASE REPORT
Year : 2009  |  Volume : 53  |  Issue : 1  |  Page : 68-70

Anaesthetic Management of A Case of Osteogenesis Imperfecta with Urinary Bladder Stone-A Case Report


1 Assistant Prof, Department of Anesthesiology & Critical Care, Subharti Medical College, Meerut, U.P., India
2 Associate Prof, Department of Anesthesiology & Critical Care, Subharti Medical College, Meerut, U.P., India

Correspondence Address:
Munish Garg
Flat No.11, XBlock,Subharti Medical College, Delhi Haridwar Byepass Road Meerut (U.P.)
India
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Source of Support: None, Conflict of Interest: None


PMID: 20640081

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Sometimes in practice of anaesthesia, anaesthesiologist encounters patients with rare congenital diseases. To anaesthesiologist, these patients are a challenge due to inherent complications associated with the disease. Here, we are reporting a case of osteogenesis imperfecta who was posted for the surgery for vesical calculus. All investiga­tions were done to rule out any cardio-respiratory abnormalities, bleeding disorders, which are commonly associated with these patients. Caudal epidural was chosen as anaesthesia technique of choice as spinal anaesthesia was anticipated to be difficult due to associated kyphoscoliosis. GA was avoided due to anticipated difficult airway, restrictive lung disease and susceptibility to malignant hyperthermia. We emphasize the importance of proper preanaesthetic evaluation, intellectual, mental and logistical preparation which should be done before anaesthetising these types of patients.


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