Anesthetic Mx of a teenager in Marfan syndrome during spinal
Published in the Journal of Medical cases, the authors present a case of a 15-year-old adolescent who required anesthetic care during spinal fusion. The perioperative implications of MFS are reviewed and options for anesthetic care presented.

The patient was premedicated with intravenous midazolam (2 mg) through a pre-existing peripheral intravenous cannula, and transported to the operating room, where routine American Society of Anesthesiologists’ monitors were placed. Following preoxygenation with 100% oxygen, anesthesia was induced with propofol (130 mg), lidocaine (60 mg), and sufentanil (20 µg).

Bag-valve-mask ventilation was provided without difficulty. Rocuronium (50 mg) was administered to facilitate endotracheal intubation. Direct laryngoscopy was performed with a Miller 2 blade and revealed a Cormack-Lehane Grade 1 view. A 7.0 mm cuffed endotracheal tube was placed on the first attempt.

Two 16 gauge intravenous cannulas were placed. A 20 gauge arterial cannula was placed in the left radial artery. Neurophysiological monitoring, including motor evoked potentials (MEP) and somatosensory evoked potentials (SSEPs) was performed.

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