Abstract:
INTRODUCTION:Bardet-Biedl syndrome, which compromises airway management and the cardiovascular and renal systems, is a rare ciliopathic syndrome characterized by multisystem involvement and varying genetic etiologies and clinical manifestations. PATIENT CONCERNS:A 13-year-old female patient had a history of chronic renal failure, hypothyroidism, mental retardation, hypogonadotropic hypogonadism, obesity, and retinitis pigmentosa and was undergoing 4-hour hemodialysis 3 days a week. DIAGNOSIS:We diagnosed Bardet-Biedl syndrome based on the results of genetic tests. INTERVENTIONS:We performed renal transplantation under general anesthesia while considering the perioperative risks of airway obstruction and hypothermia. OUTCOMES:Multidisciplinary preoperative evaluation is crucial to avoid perioperative complications. The risk of an obstructed airway should be considered. Hypothyroidism is a rare consequence of Bardet-Biedl syndrome. Rocuronium and sugammadex are safe for anesthetic management during renal transplantation to address Bardet-Biedl syndrome. CONCLUSION:Safe anesthetic management can be achieved with the rigorous preoperative assessment of perioperative complications.
journal_name
Medicine (Baltimore)journal_title
Medicineauthors
Yaman F,Çekmen Ndoi
10.1097/MD.0000000000022300subject
Has Abstractpub_date
2020-09-18 00:00:00pages
e22300issue
38eissn
0025-7974issn
1536-5964pii
00005792-202009180-00087journal_volume
99pub_type
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