Total intravenous anesthesia for Kartagener's syndrome: A case report

Jo, Youn Yi; Jung, Wol Seon; Kim, Hong Soon; Byen, Sang Ho; Lee, Kyung Cheon

Case Report

Anesthetic Pharmacology

Anesthesia and Pain Medicine 2012;7(4):317-319.
Published online October 31, 2012.

Total intravenous anesthesia for Kartagener's syndrome: A case report

Youn Yi Jo, Wol Seon Jung, Hong Soon Kim, Sang Ho Byen, Kyung Cheon Lee

Department of Anesthesiology and Pain Medicine, Gachon University Gil Medical Center, Incheon, Korea. leekc@gilhospital.com

Abstract

Kartagener's syndrome (KGS) is an autosomal recessive disorder which possible to link the occurrence of abnormal ciliary movement and abnormal position of the body organs. Considering the fact that airway ciliary function plays an important role in the primary pulmonary defense mechanism, prevent the ciliodepressant actions are also important for anesthetic management. We described successful anesthetic management of a 44-year-old male scheduled for endoscopic sinus surgery who had a history of frequent epistaxis, anosmia and situs inversus totalis. Anesthesia was induced and maintained with propofol and remifentanil using a target controlled infusion device.

Key Words: Ciliary function, Kartagener's syndrome, Total intravenous anesthesia