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Revista Brasileira de Anestesiologia
On-line version ISSN 1806-907X
NEVES, José Francisco Nunes Pereira das et al. Total intravenous anesthesia in Osteogenesis imperfecta patient: case report. Rev. Bras. Anestesiol. [online]. 2004, vol.54, n.5, pp. 668-671. ISSN 1806-907X. http://dx.doi.org/10.1590/S0034-70942004000500007.
BACKGROUND AND OBJECTIVES: Osteogenesis Imperfecta is an uncommon genetic connective tissue disease with prevalence of 1/10000, primarily involving endochondral ossification, resulting in brittle bones, multiple fractures and skeletal deformities. This article aimed at reporting a case of Osteogenesis Imperfecta patient submitted to total intravenous anesthesia for fractured femur surgical repair. CASE REPORT: Male patient, 15 years old, 41 kg, 140 cm, with history of Osteogenesis Imperfecta and cardiopathy, scheduled for fractured femur surgical repair. In the operating room patient was monitored with ECG, HR, NIBP and SpO2 and was submitted to total intravenous anesthesia with propofol, alfentanil and cisatracurium. Monitoring of PETCO2 and esophageal temperature was introduced after TI. There have been no complications both in the intraoperative period and in the post-anesthetic care unit. Patient was discharged 5 days later. CONCLUSIONS: This report has shown satisfactory intra and postoperative evolution of Osteogenesis Imperfecta patient submitted to total intravenous general anesthesia. Disease complexity has shown the need for anesthesiologists adequate evaluation and monitoring.
Keywords : ANESTHESIA [Intravenous]; ANESTHESIA [total]; DISEASES [Osteogenesis Imperfecta].