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Submited on: 10 Sep 2010 05:41:42 PM GMT
Published on: 10 Sep 2010 07:47:17 PM GMT
- Other Comments: Drs. Parray, Apuya, and Martin have done an excellent job of reviewing the literature in re this syndrome. They also showed creative insight in utilizing the rSO2 system to monitor cerebral oxymetry as a rough equivalent to NIBP. The pre-auricular artery could be cannulated in cases where significant blood loss/fluid shifts are expected. The risks to using this technique are well documented. The authors have certainly demonstrated a safe, non-invasive manner in which to monitor a patient with this syndrome.
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Experience and credentials in the specific area of science:
Over 20 years of experience as a pediatric anesthesiologist. Over 10 years in cranio-facial anesthesia practice. - How to cite: Crosland J G.Anesthesia Management of a Patient with Tetra-amelia Syndrome[Review of the article 'Anesthetic Management Of A Patient With Tetra-Amelia Syndrome ' by Siddiqui S].WebmedCentral 2010;1(10):WMCRW0088
Tetra-amelia is not always a genetic disease, so the term it is a genetic autosomal disorder needs to be revised. For intravenous access in major surgeries like in this case a jugular access is a better option. Intra-operative monitoring with esophageal stethoscope and temperature monitoring is vital. They can have underlying lung hypoplasia and needs to be evaluated before anesthesia
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Pediatric Surgery International: Volume 26, Issue 10 (2010), Page 1049 - 1052
Two cases of Roberts syndrome were managed and published in