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Case Reports
. 2013 Sep;25(6):488-90.
doi: 10.1016/j.jclinane.2013.02.013. Epub 2013 Aug 17.

Anesthetic management of an infant with Joubert syndrome for cardiac surgery

Pradeep Bhaskar  1 , Jiju John, Suresh K Sivamurthy, Reyaz A Lone, Pawel A Tysarowski, Mohammed K Riyas, Syed A Syed, Akhlaque N Bhat, Ahmed Sallehuddin
Affiliations
Case Reports

Anesthetic management of an infant with Joubert syndrome for cardiac surgery

Pradeep Bhaskar et al. J Clin Anesth. 2013 Sep.

Abstract

The anesthetic implications of Joubert syndrome in an infant who required cardiac surgery using cardiopulmonary bypass (CPB) is presented. Children with Joubert syndrome present with central apnea due to malformations in the midbrain and cerebellum. These patients have a marked sensitivity to opioids. The use of dexmedetomidine along with remifentanil was effective in this case.

Keywords: Anesthesia; Apnea; Cardiac surgery; Congenital anomalies; Dexmedetomidine; Joubert syndrome; Neonatology; Opioids.

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