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Case Reports
. 2022 Jul 7;14(7):e26646.
doi: 10.7759/cureus.26646. eCollection 2022 Jul.

Caffeine Use in the Anesthetic Management of a Patient With Congenital Central Hypoventilation

Jevaughn S Davis  1 , Luca Allais  1 , Claude Abdallah  2
Affiliations
Case Reports

Caffeine Use in the Anesthetic Management of a Patient With Congenital Central Hypoventilation

Jevaughn S Davis et al. Cureus. .

Abstract

Congenital central hypoventilation syndrome (CCHS) is a rare neurological disease affecting the brain's response to carbon dioxide levels, resulting in dysregulation of respiration. CCHS is characterized by a diminished effort to breathe during sleep despite hypoxia and hypercapnia. Ventilation is adequate during wakeful periods but diminished during sleep. Alterations in ventilation pose a challenge to anesthesiologists in their attempts to wean these patients from ventilatory support. We describe a patient with CCHS and a complicated history of prolonged tracheal intubation, who was treated with intravenous (IV) caffeine and was able to resume adequate spontaneous ventilation and baseline mental status immediately post-procedure.

Keywords: abnormal ventilation; caffeine usage; caffeine use and anesthesia; caffeine use for apnea; congenital central hypoventilation syndrome; dysregulation of respiration; hypoxia and hypercapnia.

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Conflict of interest statement

The authors have declared that no competing interests exist.

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