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BJA Advance Access published online on September 26, 2006

British Journal of Anaesthesia, doi:10.1093/bja/ael251
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© The Board of Management and Trustees of the British Journal of Anaesthesia 2006. All rights reserved. For Permissions, please e-mail: journals.permissions@oxfordjournals.org
Accepted July 13, 2006

Case Report

Anaesthetic management of a child with fibrodysplasia ossificans progressiva

M. Tumolo 1 *, A. Moscatelli 1, and G. Silvestri 1

1 Department of Anaesthesia and Intensive Care, Giannina Gaslini Children's Hospital, Largo Gerolamo Gaslini 5, 16147 Genova Quarto, Italy

* To whom correspondence should be addressed.
M. Tumolo, E-mail: miriamtumolo{at}virgilio.it


   Abstract

Fibrodysplasia Ossificans Progressiva (FOP) is a rare inherited disease in which progressive ossification of striated muscles leads to severe disability and respiratory impairment early in life and there are associated characteristic congenital skeletal malformations. Although this condition may prove demanding for the anaesthetist, few reports are available regarding anaesthesia in paediatric patients. We review the clinical features of the disease relevant to anaesthesia and describe the perioperative care of an 18-month-old boy with FOP who underwent endoscopic third-ventriculostomy for hydrocephalus associated with a brainstem mass. We emphasize the importance of an appropriate anaesthetic management of these patients, as inadequate care may lead to exacerbation of the disease with permanent sequelae.

Keywords: anaesthesia, paediatric; complications, intubation tracheal; equipment, bronchoscope; fibrodysplasia ossificans progressiva.
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