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Caudal Block with Monitored Anaesthesia Care for Bilateral Orchidopexy in 5 Year Old Child Having Down Syndrome (Trisomy 21):A Case Report


Affiliations
1 Department of Anaesthesiology, Government Medical College, Kota – 324010, Rajasthan, India

Children with Down syndrome have an increased risk of cryptorchidism. We are reporting a case of 5 year - old male child weighing 15 kg, a known case of Down syndrome with congenital hypothyroidism with complaint of bilateral empty scrotal sac. In our case, a detailed preoperative assessment and optimization was done. In preoperative assessment atlantoaxial instability was not observed and for cardiovascular anomalies 2D echo report showed normal mitral, tricuspid, aortic and pulmonary valve with intact atrial and ventricular septum. Anaesthetic management was planned with possible anticipation for atlantoaxial abnormality and difficult airway, sensitivity to drugs and ventilation challenges during surgery. A meticulous anaesthetic management by caudal block with monitored anaesthesia care resulted in a good peri-operative outcome in our case.

Keywords

Caudal Block, Down Syndrome, Orchidopexy, Trisomy 21.
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Abstract Views: 455

PDF Views: 189




  • Caudal Block with Monitored Anaesthesia Care for Bilateral Orchidopexy in 5 Year Old Child Having Down Syndrome (Trisomy 21):A Case Report

Abstract Views: 455  |  PDF Views: 189

Authors

Chetan Suwalka
Department of Anaesthesiology, Government Medical College, Kota – 324010, Rajasthan, India
S. C. Dulara
Department of Anaesthesiology, Government Medical College, Kota – 324010, Rajasthan, India
Upendra Kumar
Department of Anaesthesiology, Government Medical College, Kota – 324010, Rajasthan, India

Abstract


Children with Down syndrome have an increased risk of cryptorchidism. We are reporting a case of 5 year - old male child weighing 15 kg, a known case of Down syndrome with congenital hypothyroidism with complaint of bilateral empty scrotal sac. In our case, a detailed preoperative assessment and optimization was done. In preoperative assessment atlantoaxial instability was not observed and for cardiovascular anomalies 2D echo report showed normal mitral, tricuspid, aortic and pulmonary valve with intact atrial and ventricular septum. Anaesthetic management was planned with possible anticipation for atlantoaxial abnormality and difficult airway, sensitivity to drugs and ventilation challenges during surgery. A meticulous anaesthetic management by caudal block with monitored anaesthesia care resulted in a good peri-operative outcome in our case.

Keywords


Caudal Block, Down Syndrome, Orchidopexy, Trisomy 21.

References