Abstract:
BACKGROUND AND OBJECTIVES:Job's syndrome (JS), one of the presentations of the Hyper IgE Syndrome, is a rare immunodeficiency. It includes cutaneous abscesses, recurring pneumonias, pneumatoceles, eosinophilia, hyperimmunoglobulinemia E (> 2,000 IU.mL(-1)), and craniofacial and bone growth changes. This report describes the disease and its anesthetic management. CASE REPORT:The patient is a 13 year old black male, 40 kg, ASA II, with Job's Syndrome diagnosed 6 months prior to this admission. The patient was admitted for elongation of the right femur. He denied use of drugs and prior surgeries; he presented good cervical mobility, interincisive distance greater than 3 cm, Mallampati II, without signs of infection. Preoperative exams were within normal limits. He was monitored with electrocardioscope, SpO(2), non-invasive blood pressure, and P(ET)CO(2). After pre-oxygenation, general anesthesia was induced and he was maintained with sevoflurane. At the end of the procedure, the patient was extubated after reversal of the neuromuscular blockade, and the patient was transferred to the PACU with Aldrete 9, He was discharged from the hospital 72 hours later, without complications. CONCLUSIONS:The choice of anesthetic technique is guided by rigorous observation among risks and benefits for each patient, according to respiratory sequelae, risk of infection, and surgical site. In the patient described here, we considered that neuroaxis anesthesia could be associated with an increased risk of severe infections due to the patient immunologic background. The procedure was safely performed with general anesthesia.
journal_name
Rev Bras Anestesioljournal_title
Revista brasileira de anestesiologiaauthors
de Resende MA,Pantoja AV,Charruff IA,de Magalhães Júnior N,Luz Pdoi
10.1016/S0034-7094(11)70009-5subject
Has Abstractpub_date
2011-01-01 00:00:00pages
81-7issue
1eissn
0034-7094issn
1806-907Xpii
S0034-7094(11)70009-5journal_volume
61pub_type
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journal_title:Revista brasileira de anestesiologia
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journal_title:Revista brasileira de anestesiologia
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journal_title:Revista brasileira de anestesiologia
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journal_title:Revista brasileira de anestesiologia
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journal_title:Revista brasileira de anestesiologia
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pub_type: 共识发展会议,杂志文章,实务指引
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更新日期:2007-06-01 00:00:00
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更新日期:2015-03-01 00:00:00
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journal_title:Revista brasileira de anestesiologia
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更新日期:2005-08-01 00:00:00
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更新日期:2010-03-01 00:00:00
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journal_title:Revista brasileira de anestesiologia
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更新日期:2011-07-01 00:00:00
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pub_type: 杂志文章
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更新日期:2012-01-01 00:00:00
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pub_type: 杂志文章
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更新日期:2017-01-01 00:00:00
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更新日期:2002-04-01 00:00:00
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journal_title:Revista brasileira de anestesiologia
pub_type: 杂志文章,评审
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更新日期:2008-09-01 00:00:00
abstract:BACKGROUND:Ludwig's angina (LA) is an infection of the submandibular space, first described by Wilhelm Frederick von Ludwig in 1836. It represents an entity difficult to manage due to the rapid progression and difficulty in maintaining airway patency, a major challenge in medical practice, resulting in asphyxia and dea...
journal_title:Revista brasileira de anestesiologia
pub_type: 杂志文章
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更新日期:2017-01-01 00:00:00
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journal_title:Revista brasileira de anestesiologia
pub_type: 杂志文章
doi:10.1590/s0034-70942008000200004
更新日期:2008-03-01 00:00:00
abstract:BACKGROUND AND OBJECTIVES:Pulmonary complications are still a major postoperative problem for cardiac surgeries with cardiopulmonary bypass (CPB). This study aimed at evaluating pulmonary function changes in patients undergoing myocardial revascularization, as compared to those submitted to valve replacement. METHODS:...
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pub_type: 杂志文章
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更新日期:2002-11-01 00:00:00