Anaesthesia concerns for patients with PWS

Jon Roberts, Mary Cataletto, Maria Lyn Quintos-Alagheband, Ferdinand Coste, Moris Angulo: Department of Pediatrics, Winthrop University Hospital, Mineola, NY

Individuals with PWS have in addition other characteristics such as an abnormal physiologic response to hypercapnia and hypoxia, a narrowed oropharyngeal space, hypoplastic dental enamel, thick secretions, prolonged and exaggerated response to sedatives, and increased risk of gastric aspiration that can lead to potential difficulties in airway management during the perioperative period. Familiarities with these issues can help to facilitate the anesthesia experience and prevent the number and severity of postoperative complications. We report the common complications observed in children with PWS that underwent surgical procedures.

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