Spinal anesthesia and postoperative epidural analgesia in a patient with congenital central hypoventilation syndrome: a case report
- Author:
Yongjoon CHOI
1
;
Sunam LEE
;
Jiyeon LEE
;
Seongwon WOO
Author Information
- Publication Type:Case Report
- Keywords: Autonomic dysregulation; Congenital central hypoventilation syndrome; Hypoxemia; Ondine's curse; Spinal anesthesia
- MeSH: Analgesia, Epidural; Anesthesia; Anesthesia, Conduction; Anesthesia, Spinal; Anoxia; Carbon Dioxide; Humans; Hypoventilation; Oxygen; Respiration, Artificial; Respiratory Insufficiency; Ventilation
- From:Korean Journal of Anesthesiology 2019;72(4):375-380
- CountryRepublic of Korea
- Language:English
- Abstract: BACKGROUND: Congenital central hypoventilation syndrome (CCHS) is a rare disorder characterized by alveolar hypoventilation and autonomic dysregulation. Patients with CCHS have adequate ventilation while awake but exhibit hypoventilation while asleep. More severely affected patients exhibit hypoventilation both when awake and when asleep. CASE: Here, we report a case of successful spinal anesthesia and postoperative epidural analgesia in a patient with CCHS who underwent orthostatic surgery. CONCLUSIONS: In patients with CCHS, anesthesia is used with the goal of minimizing respiratory depression to avoid prolonged mechanical ventilation. Regional anesthesia should be considered where appropriate. Continuous oxygen saturation and end-tidal carbon dioxide monitoring must be available.
