Parsiyel Tetrazomi 18 (Tetrazomi 18p- İzokromozom 18) Olan Olgunun Anestezi Yönetimi Deneyimimiz

Year 2020, Volume: 3 Issue: Özel Sayı 1, 28 - 32, 22.06.2020

Ahmet Gültekin , Ayhan Sahin , İlker Yıldırım , Cavidan Arar

https://doi.org/10.36516/jocass.2020.37

Abstract

Tetrazomi 18p (izokromozom 18), 18. kromozom kısa kolunun iki kopyasından oluşan anormal bir ekstra kromozomdan kaynaklanır. Kesin bir prevalans oranı hesaplanamamasına rağmen, 1 / 140.000-180.000 canlı doğum prevalansı ile çok nadir görülen bir kromozomal anormalliktir. Olgumuz bilateral inmemiş testis ve sünnet operasyonu nedeniyle polikliniğimizde değerlendirilen dört yaşında, 11 kilogram ağırlığında bir erkek çocuk hasta olup, anestezi uygulamamızda zor ventilasyon ve zor entübasyon riskine rağmen 2.0 LMA ile başarılı bir şekilde ventilasyon sağlandı.

Keywords

Tetrazomi 18p, İzokromozom 18, Genel anestezi, Zor havayolu

The Experience Of Anesthesia Management Of Partial Tetrazomy 18 (Tetrazomy 18p - Izochromozom 18)

Abstract

Abstract: Tetrasomy 18p (isochromosome 18) originates from an abnormal extra chromosome consisting of two copies of the short 18 chromosome arm. Although a definite prevalence rate can not be calculated, very rare chromosomal abnormality with a prevalence of 1 / 140,000 - 180,000 of live births. Our case was evaluated in our outpatient clinic because of bilateral undescended testis and circumcision operation. Our case was a four-year-old boy who was 11 kilograms, who underwent a successful ventilation with 2.0 LMA despite to difficult ventilation and difficult intubation.

Keywords

Tetrasomy 18p, İsochromosome 18, General anesthesia, Difficult airway

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