2023, Number 3
<< Back Next >>
Rev Mex Anest 2023; 46 (3)
Complications related to the anesthetic management of pediatric patients with osteogenesis imperfecta undergoing orthopedic procedures
Alarcón-Almanza JM, Viazcán-Sánchez EL, Barrientos-Zúñiga E
Language: Spanish
References: 22
Page: 173-178
PDF size: 243.21 Kb.
ABSTRACT
Introduction: osteogenesis imperfecta is a systemic disorder of connective tissue, characterized by decreased bone density and variability of bone fragility.
Material and methods: a retrospective, observational, descriptive study of consecutive cases was carried out, whose main objective was to determine the complications related to the anesthetic procedure in pediatric patients with a diagnosis of osteogenesis imperfecta undergoing orthopedic procedures at the "Federico Gómez" Children's Hospital of Mexico, through the review of clinical records. Patients diagnosed with osteogenesis imperfecta, under 18 years of age, undergoing elective orthopedic surgery, were included. Measures of central tendency and dispersion were used, as well as tests of various hypotheses.
Results: 86 anesthetic records were included. Most of the type III of osteogenesis imperfecta. Balanced general anesthesia was the most frequent technique with orotracheal intubation. Of the reported complications, difficult intubation was found in two cases (2.3%). In six cases (6.9%) ventilation was considered difficult. Another of the complications reported was bleeding, finding bleeding greater than expected in 33 cases (38.4%).
Conclusions: the anesthesia required in patients with osteogenesis imperfecta was carried out with a minimum of complications.
REFERENCES
Kliegman RM, Stanton BF, St Geme. Nelson Textbook of Pediatrics. 19th ed. Elseiver Health Sciences, 2011. Behrman RE, 2437-2440.
Shaker JL, Albert C, Fritz J et al. Recent developments in osteogenesis imperfecta. F1000Res. 2015;4:681.
Lim J, Grafe I, Alexander S, et al. Genetic causes and mechanisms of osteogenesis imperfecta. Bone. 2017;102:40-49.
Sillence DO, Senn A, Danks DM. Genetic heterogeneity in osteogenesis imperfecta. J Med Genet. 1979;16:101?116.
Rauch F, Glorieux FH. Osteogenesis imperfecta. Lancet. 2004;363:1377?1385.
Cabral WA, Chang W, Barnes AM, et al. Prolyl 3?hydroxylase 1 deficiency causes a recessive metabolic bone disorder resembling lethal/severe osteogenesis imperfecta. Nat Genet. 2007;39:359?365.
Shaker JL, Albert C, Fritz J, et al. Recent developments in osteogenesis imperfecta. F1000Res. 2015;4:681.
Mendoza-Londono R, Fahiminiya S, Majewski J, et al. Recessive osteogenesis imperfecta caused by missense mutations in SPARC. Am J Hum Genet. 2015;96:979?985.
Lauritzen C, Lilja J, Jarlstedt J. Airway obstruction and sleep apnea in children with craniofacial anomalies. Plast Reconstr Surg. 1986;77:1-6.
Libman R. Anesthetic considerations for the patient with osteogenesis imperfecta. Clin Orthop Relat Res. 1981;159:123-125.
Hayes M, Parker G, Ell J, Sillence D. Basilar impression complicating osteogenesis imperfecta type IV: the clinical and neuroradiological findings in four cases. J Neurol Neurosurg Psychiatry. 1999;66:357-364.
Sawin PD, Menezes AH. Basilar invagination in osteogenesis imperfecta and related osteochondrodysplasias: medical and surgical management. J Neurosurg. 1997;86:950-960.
Widmann RF, Bitan FD, Laplaza FJ, et al. Spinal deformity, pulmonary compromise, and quality of life in osteogenesis imperfecta. Spine 1999;24:1673- 1678.
Edge G, Okafor B, Fennelly ME, Ransford AO. An unusual manifestation of bleeding diathesis in a patient with osteogenesis imperfecta. Eur J Anaesthesiol. 1997;14(2):215-219
Hall RMO, Henning RD, Brown TCK, Cole WG. Anaesthesia for children with osteogenesis imperfecta-a review covering 30 years and 266 anesthetics. Pediatr Anesth. 1992;2:115-121.
Bojanic K, Kivela J, Gurrieri C, Deutsch E, Flick R, Sprung J, Weingarten T. Perioperative course and intraoperative temperatures in patients with osteogenesis imperfecta. Eur J Anaesthesiol. 2011;28:370-375.
Rothschild L, Goeller JK, Voronov P, Barabanova A, Smith P. Anesthesia in children with osteogenesis imperfecta: Retrospective chart review of 83 patients and 205 anesthetics over 7 years. Pediatr Anesth. 2018;28:1050-1058.
Mohmmad M, Cronjé L, Kusel B. A retrospective study to evaluate the anaesthetic choices and complications for patients with osteogenesis imperfecta at a quaternary referral hospital. South African J Anaesth Analg. 2020;26:45-50.
Weis SM, Emery JL, Becker KD, McBride DJ Jr, Omens JH, McCulloch AD. Myocardial mechanics and collagen structure in the osteogenesis imperfecta murine. Circ Res. 2000;87:663-676.
Wong RS, Follis FM, Shively BK, Wernly JA. Osteogenesis imperfecta and cardiovascular diseases. Ann Thorac Surg. 1995;60:1439-1443.
Oakley I, Reece LP. Anesthetic implications for the patient with osteogenesis imperfecta. AANA J. 2010;78:47-53.
Sullivan BT, Margalit A, Garg VS, Njoku DB, Sponseller PD. incidence of fractures from perioperative blood pressure cuff use, tourniquet use, and patient positioning in osteogenesis imperfecta. J Pediatr Orthop. 2019;39:e68-e70.