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증례보고 : 술 중 고탄산혈증을 보인 Larsen 증후군 환아 마취 경험 -증례보고-
이석진 ( Seuk Jin Lee ),김영기 ( Young Ki Kim ),성규완 ( Kyu Wan Seong ),임종범 ( Jong Bum Lim ),허환 ( Hwan Herr ) 대한마취과학회 2006 Korean Journal of Anesthesiology Vol.50 No.4
Larsen syndrome is a rare congenital connective tissue disorder which is characterized by multiple dislocation of major joints, typical facial appearance, cervical spine narrowing and instability, and respiratory difficulties secondary to laryngotracheomalacia. We describe a case of general anesthesia for orthopedic operations in female infant consistent with Larsen syndrome. The patient showed hypercapnia intraoperatively, but recovered without any sequelae. (Korean J Anesthesiol 2006; 50: 474~7)
이석진 ( Seuk Jin Lee ),김영기 ( Young Ki Kim ),성규완 ( Kyu Wan Seong ),김성우 ( Seong Woo Kim ) 대한마취과학회 2007 Korean Journal of Anesthesiology Vol.52 No.3
Congenital insensitivity to pain with anhidrosis (CIPA) is a rare hereditary sensory and autonomic neuropathy. CIPA is characterized by inability to sweat, insensitivity to pain, self-mutilation, recurrent episodes of hyperpyrexia, mental retardation, and autonomic nervous system abnormality. Patients with CIPA may undergo surgery because of susceptibility to trauma, bony fracture and osteomyelitis due to insensitivity to pain. We report a child who had undergone anesthesia with total intravenous anesthesia. The anesthetic management of this condition is discussed. (Korean J Anesthesiol 2007; 52: 367~70)