Volatil induction and maintenance of anesthesia (VIMA) with sevoflurane in apert’s syndrome

Apert’s syndrome is a spectrum syndrome characterized by cranyositosis, maxillary hypoplasia and syndactyly often accompanied by associated anomalies including, genitourinary defects, gastrointestinal system anomalies and cardiac defects. Pediatric patients with Apert’s syndrome frequently present for multiple orthopedic surgeries requiring general endotracheal anesthesia.
In our study we reported our anesthetic experience with the laryngeal mask airway in a 3 month-old female patient with Apert’s syndrome. We used sevoflurane 1-8 % and fentanyl (1 mcg kg-1) to induce anesthesia, and maintained anesthesia with 40 % nitrous oxide, oxygen, and sevoflorane 1-3 %. Both induction and maintenance were smooth. Emergence from anesthesia was also smooth.

Apert sendromunda anestezi indüksiyonu ve idamesinde sevofloran uygulamasý