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한진희 ( Jin Hee Han ),류형식 ( Hyung Seok Yoo ),김영석 ( Young Suk Kim ),방성욱 ( Sung Wook Park ),김동수 ( Dong Soo Kim ) 경희대학교 경희의료원 2010 慶熙醫學 Vol.26 No.2
Achondroplasia is the most common non-lethal skeletal dysplasia characterized by rhizomeric disproportionate short stature, enlarged head, midface hypoplasia, short hand, lordotic lumbar spine. Occurrence of narrow upper airway and obstructive sleep apnea is common due to relative adenoid and tonsil hypertrophy caused by midfacial hypoplasia. Restrictive respiratory insufficiency may be frequently accompanied due to characteristically small chest. We have experienced emergency tracheal intubation due to respiratory insufficiency occurred after extubation during emergence of a 50- year-old man with achondroplasia who underwent laparoscopic appendectomy under general anesthesia. Full recoverys of self respiration and mental function were checked prior to the extubation. We also review the literature on the anesthetic management of achondroplasia and discuss methods for avoiding complication.