They also present mental retardation and comorbidity, such as congenital cardiac defects, pulmonary structural anomalies and recurrent respiratory infections, which increase the risk of aspiration pneumonia. Cardiac arrhythmias have been reported after the use of certain drugs such as succinylcholine and atropine, in a higher incidence than in general population. There is an increased risk of postoperative apnea–hypopnea in these patients.
Anesthetic management for thoracic surgery in Rubinstein–Taybi syndrome
 
  Keywords
 
 
  
   Rubinstein–Taybi syndrome
  
 
 
  
   Chromosome disorders
  
 
 
  
   Airway management
  
 
 
  
   One-lung ventilation
  
 
 
  
   Esophageal perforation
  
 
Abstract
 Rubinstein–Taybi syndrome (RTS) is a chromosomopathy associated to molecular mutations or microdeletions of chromosome 16.
It has an incidence of 1:125,000–700,000 live births.
RTS patients present craniofacial and thoracic anomalies that lead to a probable difficult-to-manage airway and ventilation.
They also present <dis>mental retardation</dis> and comorbidity, such as congenital cardiac defects, pulmonary structural anomalies and recurrent respiratory infections, which increase the risk of aspiration pneumonia.
Cardiac arrhythmias have been reported after the use of certain drugs such as succinylcholine and atropine, in a higher incidence than in general population.
There is an increased risk of postoperative apnea–hypopnea in these patients.
We report the anesthetic management in a RTS patient undergoing emergent thoracic surgery due to oesophageal perforation and mediastinitis.
Lung isolation was achieved with a bronchial blocker guided with a fiberoptic bronchoscope and one-lung ventilation was performed successfully.
Abstract
 Rubinstein–Taybi syndrome (RTS) is a chromosomopathy associated to molecular mutations or microdeletions of chromosome 16.
It has an incidence of 1:125,000–700,000 live births.
RTS patients present craniofacial and thoracic anomalies that lead to a probable difficult-to-manage airway and ventilation.
They also present mental retardation and comorbidity, such as congenital cardiac defects, pulmonary structural anomalies and recurrent respiratory infections, which increase the risk of aspiration pneumonia.
Cardiac arrhythmias have been reported after the use of certain drugs such as succinylcholine and atropine, in a higher incidence than in general population.
There is an increased risk of postoperative apnea–hypopnea in these patients.
We report the anesthetic management in a RTS patient undergoing emergent thoracic surgery due to oesophageal perforation and mediastinitis.
Lung isolation was achieved with a bronchial blocker guided with a fiberoptic bronchoscope and one-lung ventilation was performed successfully.
They also present <dis>mental retardation</dis> and comorbidity, such as congenital cardiac defects, pulmonary structural anomalies and recurrent respiratory infections, which increase the risk of aspiration pneumonia. Cardiac arrhythmias have been reported after the use of certain drugs such as succinylcholine and atropine, in a higher incidence than in general population. There is an increased risk of postoperative apnea–hypopnea in these patients.
mental retardation
DISABILITY