Perioperative Management of Pediatric Patients with Osteogenesis Imperfecta Undergoing Orthopedic Procedures

Jessica K. Goeller, Paul W. Esposito, Maegen J. Wallace, Bridget A. Burke, Cynthia R. Bailey, Cynthia A. Ferris

Research output: Contribution to journalReview articlepeer-review

2 Scopus citations

Abstract

Osteogenesis imperfecta (OI) is a predominantly autosomal dominant inherited condition involving connective tissue associated with not only bone fragility, but multi-system involvement with perioperative implications. The perioperative management of patients with OI undergoing orthopedic procedures is high risk for anatomical and physiological reasons. We performed a retrospective analysis of 13 years of data covering the perioperative management of 146 pediatric patients with OI for 280 operative procedures involving up to five bones each by two fellowship-trained pediatric orthopedic surgeons and a team of pediatric anesthesiologists. The purpose of the review was to describe updated perioperative anesthetic management based on over a decade of experience in a pediatric hospital specializing in the management of OI patients.

Original languageEnglish (US)
Pages (from-to)142-149
Number of pages8
JournalCurrent Anesthesiology Reports
Volume7
Issue number2
DOIs
StatePublished - Jun 1 2017

Keywords

  • Anesthesia
  • Children
  • Epidural
  • Osteogenesis imperfecta
  • Post-operative pain

ASJC Scopus subject areas

  • Anesthesiology and Pain Medicine

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