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KMID : 0356920070530040535
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Korean Journal of Anesthesiology
2007 Volume.53 No. 4 p.535 ~ p.538
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Airway Management in a Patient with Goldenhar’s Syndrome - A case repor t-
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Lee Won-Kook
Kim Eun-Ju
Lee Ji-Hyang
Lee Sang-Gon
Ban Jong-Seouk
Min Byung-Woo
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Abstract
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Goldenhar’s syndrome is a rare form of a hemifacial microsomia in which the facial and vertebral anomalies are frequently associated with cardiac, pulmonary and renal defects. Infants with Goldenhar’s syndrome commonly have an airway that is difficulty to manage. A difficult tracheal intubation may be due to a combination of mandibular hypoplasia, macrognathia, palatal defects and vertebral anomalies. We report the successful anesthetic management of a 10-month-old girl with Goldenhar’s syndrome for the excision of conjunctival lipodermoid. The use of remifentanil followed with an anesthetic induction dose of propofol provides adequate conditions for tracheal intubation without the use of neuromuscluar blocking agents in a patient with Goldenhar’s syndrome.
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KEYWORD
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Goldenhar’s syndrome, propofol, remifentanil
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