The Successful Resuscitation in a Neonate with Down Syndrome after 45 minutes: A Case Report

Mahin Seyedhejazi, Maryam Haghighat Azari, Nasrin Taghizadieh, Haleh Farzin

Abstract


Introduction: Patients with Down syndrome (DS due to relative macroglossia and dynamic airway collapse) are vulnerable to significant upper airway complications. Obstructive sleep apnea (OSA) is a common condition and noted in about 79% of these children . Children with OSA, with or without DS, are sensitive to respiratory depression by drugs such as sedatives, opioids and hypnotics. Abnormalities of the cardiovascular system are also common in Down syndrome. Case Report: A nine_ day old male preterm newborn with DS (e.g. gestational age of 35 weeks) was brought to operation room (OR) for insertion of central venous line and surgery of duodenal atresia. During transportation to NICU, in OR he arrested and then after 45 minutes resuscitation, he returned to life. Conclusion: The placement of CVL could precipitate triggers of cardiac arrest, particularly in preterm newborn.

Keywords


Neonate, Resuscitation, Congenital Anomaly, Down Syndrome

Full Text:

PDF

References


Weijerman ME, De Winter JP. Clinical practice. European journal of pediatrics. 2010;169(12):1445-52.

Borland LM, Colligan J, Brandom BW. Frequency of anesthesia‐related complications in children with Down syndrome under general anesthesia for noncardiac procedures. Pediatric Anesthesia. 2004;14(9):733-8.

Ramamoorthy C, Haberkern CM, Bhananker SM, Domino KB, Posner KL, Campos JS, et al. Anesthesia-related cardiac arrest in children with heart disease: data from the Pediatric Perioperative Cardiac Arrest (POCA) registry. Anesthesia & Analgesia. 2010;110(5):1376-82.

Buchin PJ, Levy JS, Schullinger JN. Down's syndrome and the gastrointestinal tract. Journal of clinical gastroenterology. 1986;8(2):111-4.

Jacobs IN, Gray RF, Todd NW. Upper airway obstruction in children with Down syndrome. Archives of Otolaryngology–Head & Neck Surgery. 1996;122(9):945-50.

Lewis JK, Minter MG, Eshelman SJ, Witte MK. Outcome of pediatric resuscitation. Annals of emergency medicine. 1983;12(5):297-9.

Padiyath A, Rettiganti M, Gossett JM, Tadphale SD, Garcia X, Seib PM, et al. Epidemiology and outcomes of cardiac arrest among children with Down Syndrome: a multicenter analysis. Minerva anestesiologica. 2017;83(6):574-81.

Ellenberger C, Sologashvili T, Bhaskaran K, Licker M. Impact of intrathecal morphine analgesia on the incidence of pulmonary complications after cardiac surgery: a single center propensity-matched cohort study. BMC anesthesiology. 2017;17(1):109.

Nogami K, Taniguchi S, Togami K. Transient cardiac arrest in a child with Down syndrome during anesthesia induction with sevoflurane: a case report. JA clinical reports. 2016;2(1):18.

Rodríguez-Núñez A, Regueiro-García A, Jorge-Soto C, Cañas-González J, Leboráns-Iglesias P, García-Crespo O, et al. Quality of chest compressions by Down syndrome people: A pilot trial. Resuscitation. 2015;89:119-22.

Cha D, Pak S, Yatsynovich Y. Postoperative Cardiorespiratory Arrest in Down Syndrome. Archives of Anesthesiology and Critical Care. 2018;4(1):440-1.




DOI: https://doi.org/10.7575/aiac.abcmed.v.9n.2p.34

Refbacks

  • There are currently no refbacks.


Bookmark and Share


Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 International License.

2013-2023 (CC-BY) Australian International Academic Centre PTY.LTD.

Advances in Bioscience and Clinical Medicine