Primary osteolysis syndromes: beware of difficult airway

Paediatric Anaesthesia
R Scott HerdToby N Weingarten

Abstract

Primary osteolysis syndromes represent a number of rare conditions characterized by destruction and resorption of bone that is unrelated to neoplasia, infection, or trauma. To characterize the periprocedural course of patients with primary osteolysis syndrome undergoing procedures that require anesthesia care. The medical records database from our institution was searched from 1976 to 2013 to identify patients with primary osteolysis syndromes who received anesthesia care. We reviewed demographic characteristics, comorbidities, and perioperative course of patients with different forms of primary osteolysis. A systematic review of the literature was performed to identify reports describing the anesthetic management of patients with these conditions. We identified 11 patients with a primary osteolysis syndrome who received 111 anesthetics. The patients' ages at the time of surgery ranged from 3 to 62 years. Difficult airway management was a common finding. On preoperative examination, difficulty with endotracheal intubation was predicted in 8 of 11 patients. Three patients had preexisting tracheostomies. One patient required multiple awake fiberoptic intubations. Another two patients where successfully intubated early in life via...Continue Reading

References

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Citations

Apr 10, 2016·Paediatric Anaesthesia·Masahiro KazawaKoshi Makita
Dec 13, 2018·Case Reports in Anesthesiology·Niklas S HansenTroels B Jensen
Apr 20, 2016·Clinical Dysmorphology·Kausik MandalShubha R Phadke

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