Anesthesia Concerns for a Patient with Turner Syndrome

 

The patient needs to have a complete evaluation prior to surgery in order to detect comorbidities such as:

(1) cardiac defects

(2) renal dysfunction

(3) gastrointestinal disease

(4) endocrine disorders

 

The tracheal birfucation may be at the level of the sternoclavicular joint, rather than at the level of the second thoracic vertebra.

 

Problems during anesthesia:

(1) difficult airway secondary to short neck, limited neck mobility, maxillary hypoplasia, micrognathia or retrognathia, TMJ dysfunction)

(2) risk of bronchial intubation due to short trachea

(3) accidental extubation if traction applied to cannula