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Canadian Journal of Anesthesia, Vol 30, 179-184, Copyright © 1983 by Canadian Anesthesiologists' Society

Anaesthetic Considerations in the Prader-Willi Syndrome: Report of Four Cases

M. YAMASHITA MD1, K. KOISHI MD1, R. YAMAYA MD1, T. TSUBO MD1, A. MATSUKI MD1, and T. OYAMA MD1

1 Department of Anesthesiology, Hirosaki University, School of Medicine

Address Correspondence to: Dr. M. Yamashita MD, Department of Anesthesiology, Hirosaki University, School of Medicine, Hirosaki 036, Japan.

The anaesthetic management of four paediatric patients with the Prader-Willi syndrome is reported. The syndrome is characterized by obesity, mental retardation, genital hypoplasia, hypotonia, and diabetes mellitus. All patients were anaesthetized with halothane. Succinylcholine or pancuronium were used for muscle relaxation, without evidence of abnormal response. Common anaesthetic difficulties in this syndrome are obesity, hypotonia, disturbance in thermoregulation, arrhythmias, diabetes mellitus and convulsions.

Key Words: ANAESTHESIA: paediatric; Prader-Willi syndrome






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Copyright © 1983 by the Canadian Anesthesiologists' Society.