The method of our time is to use not one but multiple exploration models.

Marshall McLuhan

Best practices in peri-operative management of patients with skeletal dysplasias (White K et al., 2017) (web)

Patients with skeletal dysplasia frequently require surgery. This patient population has an increased risk for perioperative complications related to the anatomy of their upper airway, abnormalities of tracheal-bronchial morphology and function; deformity of their chest wall; abnormal mobility of their upper cervical spine; and associated issues with general health and body habitus.

A consensus was reached to support 19 recommendations for best pre-operative management of patients with skeletal dysplasia. These recommendations include pre-operative pulmonary, polysomnography; cardiac, and neurological evaluations; imaging of the cervical spine; and anesthetic management of patients with a difficult airway for intubation and extubation. The goals of this consensus-based best practice guideline are to provide a minimum of standardized care, reduce perioperative complications, and improve clinical outcomes for patients with skeletal dysplasia

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