Anesthetic Management of Pre/Intraopertive Bradycardia in a Patient With Stickler Syndrome During Ophthalmic Surgery
A 10-year-old patient with Stickler Syndrome (SS) presented for vitrectomy. Preoperative ECG showed sinus bradycardia with a heart rate in the low 50s. The operation proceeded without complications. SS is a primarily autosomal dominant, multisystem connective tissue disorder with various clinical manifestations. Ocular complications are common and may include myopia, vitreous abnormalities, retinal detachment, glaucoma, and cataracts. SS patients frequently require ophthalmic surgery and anesthetic considerations include anticipating and managing the oculocardiac reflex. This case report will focus on the anesthetic implications of SS, specifically on the significance, etiology, and management of bradycardia in the pediatric population undergoing general anesthesia.
Kitchen S, Aiello A, Moussa AR. Anesthetic management of pre/intraoperative bradycardia in a pediatric patient with Stickler syndrome during ophthalmic surgery. Presented at: American Society of Anesthesiologists Annual Meeting; 2023 Oct 16; San Francisco, CA.