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1.  Anesthetic Management of a Patient with Cornelia De Lange Syndrome 
Anesthesia Progress  1987;34(2):63-65.
Cornelia de Lange syndrome presents various problems for anesthetic management, which include anatomical anomalies of face and extremities, cardiopulmonary and endocrine disorders, renal dysfunction, epileptic EEG waves, and mental retardation. The choice of anesthetic procedure must be carefully considered in view of these abnormalities. We administered halothane anesthesia to an 11-year-old child with this syndrome who needed dental treatment. Anesthesia and postoperative course were uneventful, with the exception of a transient bronchospasm-like attack during anesthesia.
PMCID: PMC2148568  PMID: 2955721
2.  Anesthetic Management of a Patient With Kasabach-Merritt Syndrome 
Anesthesia Progress  1987;34(1):17-19.
Kasabach-Merritt syndrome presents various problems for anesthetic management, which include thrombocytopenia, bleeding tendency, and problems arising from the hemangioma mass itself. A 20-month-old female was scheduled for cryosurgery of a hemangioma on the face. Massive bleeding from the tumor was easily induced even by slight contact. The hematologic examination revealed a low platelet count and anemia. Anesthesia was induced carefully by applying an adult anesthetic mask to avoid the large tumor mass on the face and maintained with halothane and nitrous oxide/oxygen. Additional doses of prednisolone were administered before and during anesthesia to compensate for possible adrenal insufficiency due to steroid therapy which she had been receiving. Neither excessive bleeding nor any other particular complications occurred during anesthesia and surgery, and the postoperative course was also uneventful.
PMCID: PMC2186214  PMID: 3472474
3.  System of Acute Medical Support to Emergency during Dental Treatment in Japan 
Anesthesia Progress  1986;33(5):265-267.
The Resuscitation Committee of Hiroshima City Dental Association was established in 1983 in order to provide acute medical support in case of emergency during dental treatment at private dental clinics. This Committee is composed of representatives from the Hiroshima City Dental Association, Hiroshima University School of Dentistry, Hiroshima University School of Medicine, Hiroshima City Health Bureau, and Hiroshima City Fire and Ambulance Department. A portable ECG monitor with defibrillator and a resuscitation kit are held in readiness at the Hiroshima University Hospital. In case of emergency during dental treatment at a private dental clinic, we hurry to the clinic with the resuscitation set and give emergency treatment. We have been involved in two cases of emergency since this system started. Both of them recovered without any sequelae. Besides these activities, we give lectures annually to dentists and dental hygienists on the treatment of medical emergencies.
PMCID: PMC2177475  PMID: 3465266

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