Review Article
Year: 2019 | Month: May | Volume: 9 | Issue: 5 | Pages: 381-385
Anesthesia for Patients with Down syndrome
Md Irfanul Haque
Assistant Professor of Anesthesia, Faculty of Dentistry, Jamia Millia Islamia, New Delhi
ABSTRACT
Down syndrome is the commonest chromosomal abnormality and involves multiple systems of the body. Patients with Down syndrome are posted for various cardiac and non-cardiac surgeries requiring general anesthesia. Multiple systemic involvements and congenital anomalies require meticulous preoperative assessment. Cardiac and respiratory examinations are particularly focused upon. Depressed immune function and presence of antibodies are quite common. Intraoperative management targets airway management and proper positioning of these patients. These patients also have raised propensity to cardiac and respiratory complications intraoperatively. A discussion focusing on anesthetic implications and management of patients with Down syndrome has been presented here.
Key words: Down syndrome, Trisomy 21, anesthesia