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Intravenous Anesthesia in a Rare Pediatric Patient with Poland Syndrome: Case Report Wan Novriza Wijaya; Dino Irawan; Novita Anggraeni
Eduvest - Journal of Universal Studies Vol. 6 No. 3 (2026): Eduvest - Journal of Universal Studies
Publisher : Green Publisher Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59188/eduvest.v6i3.52349

Abstract

Poland syndrome (PS) is a very rare congenital anomaly characterized by hypoplasia or aplasia of the pectoral muscles and mammary hypoplasia and is associated with anomalies in the ipsilateral region of the body. Poland syndrome can increase the risk of developing intraoperative malignant hyperthermia; hence, special consideration is needed in the management of anesthesia in these patients. We report herein the management of general anesthesia for syndactyly release surgery in a child with Poland syndrome. A 1-year- and 11-month-old boy with Poland syndrome was scheduled to undergo manus dextra interphalangeal syndactyly release surgery under total intravenous general anesthesia using midazolam (0.1 mg/kg body weight), fentanyl (2 mcg/kg), and atracurium (0.5 mg/kg body weight) as induction agents, with maintenance using midazolam (0.3 mg/kg/h). Anesthesia can be performed at this age to prevent contractures and deformities and to avoid functional abnormalities. The anesthesia lasted 120 min with intraoperatively stable hemodynamics. After the operation, the patient was treated in a regular ward and discharged after 2 days of treatment. The use of total intravenous anesthesia with midazolam in children with Poland syndrome for the surgical release of manus dextra interphalangeal syndactyly is a good option and is also clinically beneficial.
Short-term care strategy in a cesarean section patient with pulmonary hypertension, EF 25% and intraventricular thrombus: A case report Novella Syafrita; Vera Muharrami; Novita Anggraeni; Nopian Hidayat
Science Midwifery Vol 14 No 1 (2026): April: Health Sciences and related fields
Publisher : Institute of Computer Science (IOCS)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35335/midwifery.v14i1.2294

Abstract

Cesarean section in patients with pulmonary hypertension and interventricular septal thrombus is a high-risk condition that requires an integrated care strategy and multidisciplinary preparation. The primary goals of care are to ensure hemodynamic stability, control pulmonary artery pressure, and prevent thromboembolic complications during and after surgery. Prior to the procedure, patients are prepared with careful anticoagulation therapy using heparin, strict fluid management, and oxygenation support. The choice of anesthetic is made considering its impact on pulmonary pressure and right heart function. Invasive monitoring, such as arterial lines and central venous pressure (CVP), is used intraoperatively for close monitoring. Collaboration between the obstetrics, anesthesia, cardiology, and intensive care teams is crucial to minimize maternal and fetal risks and ensure a safe cesarean section.