Perioperative Management of Pediatric Patients with Osteogenesis Imperfecta Undergoing Orthopedic Procedures

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Perioperative Management of Pediatric Patients with Osteogenesis Imperfecta Undergoing Orthopedic Procedures
Key Take-Away: 

Osteogenesis imperfecta is an autosomal dominant inherited syndrome associated with perioperative implications. This analysis provides the updated perioperative management of pediatric patients with osteogenesis imperfect.

Osteogenesis imperfecta (OI) is a predominantly autosomal dominant inherited condition involving connective tissue associated with not only bone fragility but multi-system involvement with perioperative implications.

ABSTRACT: 
Background: 

Osteogenesis imperfecta (OI) is a predominantly autosomal dominant inherited condition involving connective tissue associated with not only bone fragility but multi-system involvement with perioperative implications.

The perioperative management of patients with OI undergoing orthopedic procedures is high risk for anatomical and physiological reasons. 

Methods: 

We performed a retrospective analysis of 13 years of data covering the perioperative management of 146 pediatric patients with OI for 280 operative procedures involving up to five bones each by two

We performed a retrospective analysis of 13 years of data covering the perioperative management of 146 pediatric patients with OI for 280 operative procedures involving up to five bones each by two fellowship-trained pediatric orthopedic surgeons and a team of pediatric anesthesiologists.

Results: 

The purpose of the review was to describe updated perioperative anesthetic management.

Conclusion: 

The updated perioperative anesthetic management was based on over a decade of experience in a pediatric hospital specializing in the management of OI patients.

Source:

Current Anesthesiology Reports

Link to the source:

https://link.springer.com/article/10.1007%2Fs40140-017-0207-8

 

Original title of article:
 

Perioperative management of pediatric patients with Osteogenesis imperfecta undergoing orthopedic procedures

 

Authors:

Jessica K. Goeller et al

 
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