Fatal Complications during Anaesthesia in Moebius Syndrome: A Case Report and Brief Discussion of Relevant Precautions and Preoperative Assessments

Rasmussen Lk,Christensen S,Rian O,Korshoej Ar

doi:10.19070/2332-2780-1500030

Abstract

Fatal Complications during Anaesthesia in Moebius Syndrome: A Case Report and Brief Discussion of Relevant Precautions and Preoperative Assessments

Highlights

We report a case of a 23-year-old male with Moebius syndrome and unexpected cardiac arrest during intravenous anaesthesia induction
Moebius Syndrome is a very rare complex congenital disorder characterised by uni- or bilateral facial paralysis resulting in orofacial abnormalities that in some individuals make tracheal intubation very difficult
Complications during the anaesthetic procedure caused a fatal outcome for the patient, as difficulties intubating was followed by an unexpected circulatory collapse, which could not be counteracted in the current setting

Summary

Introduction

We report a case of a 23-year-old male with Moebius syndrome and unexpected cardiac arrest during intravenous anaesthesia induction. In light of the presented case, we will discuss relevant precautions and appropriate preoperative assessments necessary when handling difficult airways and patients with Moebius Syndrome. The patient had a Simplified Airway Risk Index (SARI) score of 7 based on the history of difficult intubation, reduced neck movement, mouth opening and thyromental distance, Mallampati class III assignment and the lack of ability to pronate [7]. Based on this high-risk evaluation and a considerable risk of aspiration awake. After 40 minutes the patient developed sustained asystolia and CPR was terminated

Findings

Discussion

Conclusion