{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,9]],"date-time":"2026-03-09T07:00:20Z","timestamp":1773039620587,"version":"3.50.1"},"reference-count":12,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2026,3,8]],"date-time":"2026-03-08T00:00:00Z","timestamp":1772928000000},"content-version":"vor","delay-in-days":66,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/501100007065","name":"Universit\u00e0 degli Studi di Salerno","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100007065","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Case Reports in Medicine"],"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>The rare concurrence of Sturge\u2013Weber syndrome (SWS) and obesity hypoventilation syndrome (OHS) presents significant anesthetic challenges, with complexity in airway management and perioperative respiratory care.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Case Presentation<\/jats:title>\n                    <jats:p>\n                      A 55\u2010year\u2010old man with SWS and OHS underwent elective dental extraction. He was advised to undergo continuous positive airway pressure (CPAP) therapy (10 cmH\n                      <jats:sub>2<\/jats:sub>\n                      O) preoperatively. Premedication included intramuscular clonidine (2\u2009\u03bcg\/kg). Awake fiberoptic intubation was performed under high\u2010flow nasal oxygen (HFNO) support. Anesthesia was maintained with propofol and remifentanil via target\u2010controlled infusion. In the PACU, CPAP intolerance led to desaturation (SpO\n                      <jats:sub>2<\/jats:sub>\n                      80%), which was rapidly corrected with HFNO (50\u201370\u2009L\/min, FiO\n                      <jats:sub>2<\/jats:sub>\n                      60%\u201380%), restoring SpO\n                      <jats:sub>2<\/jats:sub>\n                      \u2009&gt;\u200994% within 3\u2009min. The patient was discharged after 24\u2009h of uneventful monitoring.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Awake fiberoptic intubation and the use of HFNO under strict ventilatory monitoring, as a rescue or bridging strategy, can facilitate safe anesthetic management in high\u2010risk patients with SWS and OHS who are CPAP\u2010intolerant. This case highlights the importance of multidisciplinary planning and individualized respiratory support strategies.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1155\/carm\/5537894","type":"journal-article","created":{"date-parts":[[2026,3,9]],"date-time":"2026-03-09T06:01:20Z","timestamp":1773036080000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Perioperative Challenges in a Patient With Sturge\u2013Weber and Obesity Hypoventilation Syndromes"],"prefix":"10.1155","volume":"2026","author":[{"given":"Giuseppe","family":"Mincolelli","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Antonio","family":"Izzi","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Matteo Luigi Giuseppe","family":"Leoni","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Vincenzo","family":"Marchello","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Maria Grazia Di","family":"Carlo","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5236-3132","authenticated-orcid":false,"given":"Marco","family":"Cascella","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andreaserena","family":"Recchia","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ruggero Massimo","family":"Corso","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2026,3,8]]},"reference":[{"key":"e_1_2_14_1_2","doi-asserted-by":"publisher","DOI":"10.1089\/lrb.2007.1016"},{"key":"e_1_2_14_2_2","first-page":"435","article-title":"Sturge-Weber-Syndrome With Extreme Ocular Manifestation and Rare Association of Upper Airway Angioma With Anticipated Difficult Airway","volume":"67","author":"Wong H. 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