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  • 标题:Spinal anesthesia and postoperative epidural analgesia in a patient with congenital central hypoventilation syndrome -a case report
  • 本地全文:下载
  • 作者:Yongjoon Choi ; Sunam Lee ; Jiyeon Lee
  • 期刊名称:Korean Journal of Anesthesiology
  • 印刷版ISSN:2005-6419
  • 出版年度:2019
  • 卷号:72
  • 期号:4
  • 页码:375-380
  • DOI:10.4097/kja.d.18.00118
  • 语种:English
  • 出版社:The Korean Society of Anesthesiologists,
  • 摘要:Background Congenital central hypoventilation syndrome (CCHS) is a rare disorder characterized by alveolar hypoventilation and autonomic dysregulation. Patients with CCHS have adequate ventilation while awake but exhibit hypoventilation while asleep. More severely affected patients exhibit hypoventilation both when awake and when asleep. Case Here, we report a case of successful spinal anesthesia and postoperative epidural analgesia in a patient with CCHS who underwent orthostatic surgery. Conclusions In patients with CCHS, anesthesia is used with the goal of minimizing respiratory depression to avoid prolonged mechanical ventilation. Regional anesthesia should be considered where appropriate. Continuous oxygen saturation and end-tidal carbon dioxide monitoring must be available.
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