Matsuko Matsunaga

Anesthetic management of a child with chromosome 22q11 deletion syndrome

Chromosome 22q11 deletion syndrome (22q11DS) is a congenital anomaly characterized by cardiovascular, oropharyngeal, immunologic, endocrine, and neurodevelopmental abnormalities. We successfully managed a 6‐year‐old girl with 22q11DS with general anesthesia. Potential problems in anesthetic management of patients with 22q11DS are reviewed.

Pulmonary edema after anesthesia-related laryngospasm

There have been recent reports of pulmonary edema (PE) complicating anesthesia-related laryngospasm (LS)1-9, and most of them were anesthetized with volatile anesthetics2 7,9. We have also had this experience in a patient anesthetized with nitrous oxide in oxygen, supplemented with fentanyl. We describe herein the clinical events and discuss the mechanisms of PE complicating anesthesia-related LS.