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- Title
Bradycardia with sevoflurane in siblings with branchio-oto-renal syndrome.
- Authors
TAYLOR, MATTHEW H. G.; WILTON, NIALL C. T.
- Abstract
Branchio-oto-renal syndrome (BOR, Melnick–Fraser syndrome, MIM#113650) refers to a rare autosomal dominant disorder characterized by branchial cysts or fistulas, hearing loss, external ear malformation, preauricular pits and renal abnormalities. The authors present three episodes of significant bradycardia in two siblings diagnosed with BOR syndrome during the sevoflurane general anesthesia. There is no published experience of anesthesia with this syndrome. Bradycardia occurred variously at induction, maintenance and immediately prior to emergence and required surgical stimulation, atropine, or epinephrine to treat. We seek to raise awareness of the potential for bradycardia during the procedures in patients with this syndrome requiring volatile anesthesia, especially sevoflurane.
- Subjects
BRADYCARDIA; ARRHYTHMIA; HEART diseases; FISTULA; DEAFNESS; ANESTHESIA; DISEASE research
- Publication
Pediatric Anesthesia, 2007, Vol 17, Issue 1, p80
- ISSN
1155-5645
- Publication type
Article
- DOI
10.1111/j.1460-9592.2006.02024.x