{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2024,10,8]],"date-time":"2024-10-08T04:16:21Z","timestamp":1728360981064},"reference-count":11,"publisher":"American Dental Society of Anesthesiology (ADSA)","issue":"3","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2023]]},"abstract":"<jats:p>Dental treatment for patients with cerebral palsy (CP) is often performed under general anesthesia due to involuntary movements that can render dental treatment difficult. Since CP is often accompanied by spasticity, care must be taken when positioning patients during general anesthesia. We report the management of a 14-year-old girl with CP and epilepsy undergoing general anesthesia for dental treatment who experienced respiratory failure due to acute thoracoabdominal muscle hypertonia after extubation. She had a history of cardiac arrest due to respiratory failure caused by acute muscle hypertonia and successful resuscitation. General anesthesia was induced after careful positioning of the patient to prevent spastic muscle stretching, and the dental treatment was completed without complications. However, upon awakening after extubation, the patient developed respiratory failure due to acute muscle hypertonia. The patient was resedated and repositioned from a supine to a sitting position, and her symptoms improved. There was no recurrence of muscle hypertonia, and she recovered fully without complications. In this case, respiratory failure associated with acute muscle hypertonia was successfully managed by position change after initial treatment with positive-pressure ventilation and propofol. It is important to be prepared for the possibility of respiratory failure associated with acute muscle hypertonia and its countermeasures when providing general anesthesia for patients with CP.<\/jats:p>","DOI":"10.2344\/anpr-70-02-08","type":"journal-article","created":{"date-parts":[[2023,10,18]],"date-time":"2023-10-18T12:05:46Z","timestamp":1697630746000},"page":"124-127","source":"Crossref","is-referenced-by-count":1,"title":["Positional Change Used to Manage Postextubation Respiratory Failure in a Child With Cerebral Palsy"],"prefix":"10.2344","volume":"70","author":[{"given":"Jun","family":"Hirokawa","sequence":"first","affiliation":[{"name":"Miyazaki Dental Welfare Center, Miyazaki City Dental Association, Miyazaki, Miyazaki, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kouichi","family":"Hidaka","sequence":"additional","affiliation":[{"name":"Miyazaki Dental Welfare Center, Miyazaki City Dental Association, Miyazaki, Miyazaki, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mitsuyo","family":"Kanemaru","sequence":"additional","affiliation":[{"name":"Miyazaki Dental Welfare Center, Miyazaki City Dental Association, Miyazaki, Miyazaki, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Takashi","family":"Hitosugi","sequence":"additional","affiliation":[{"name":"Department of Dental Anesthesiology, Faculty of Dental Science, Kyushu University, Fukuoka, Fukuoka, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yu","family":"Oshima","sequence":"additional","affiliation":[{"name":"Department of Dental Anesthesiology, Faculty of Dental Science, Kyushu University, Fukuoka, Fukuoka, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Takeshi","family":"Yokoyama","sequence":"additional","affiliation":[{"name":"Department of Dental Anesthesiology, Faculty of Dental Science, Kyushu University, Fukuoka, Fukuoka, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1191","reference":[{"issue":"(2)","key":"i1878-7177-70-3-124-b01","series-title":"Clin Perinatol","first-page":"251","article-title":"The descriptive epidemiology of cerebral palsy","volume":"33","author":"Paneth","year":"2006","unstructured":"Paneth\n              N,\n            \n            \n              Hong\n              T,\n            \n            \n              Korzeniewski\n              S.\n            \n          \n          The descriptive epidemiology of cerebral palsy.\nClin Perinatol.\n2006;\n33(2):\n251\u2013267."},{"issue":"(6)","key":"i1878-7177-70-3-124-b02","series-title":"Dev Med Child Neurol","first-page":"646","article-title":"Respiratory morbidity in children with cerebral palsy: an overview","volume":"61","author":"Boel","year":"2019","unstructured":"Boel\n              L,\n            \n            \n              Pernet\n              K,\n            \n            \n              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Posture.\n2000;\n11(1):\n67\u201379."},{"issue":"(5)","key":"i1878-7177-70-3-124-b07","series-title":"Pediatrics","first-page":"e1285","article-title":"Clinical prognostic messages from a systematic review on cerebral palsy","volume":"130","author":"Novak","year":"2012","unstructured":"Novak\n              I,\n            \n            \n              Hines\n              M,\n            \n            \n              Goldsmith\n              S,\n            \n            \n              Barclay\n              R.\n            \n          \n          Clinical prognostic messages from a systematic review on cerebral palsy.\nPediatrics.\n2012;\n130(5):\ne1285\u2013e1312."},{"issue":"(9)","key":"i1878-7177-70-3-124-b08","series-title":"Lancet Neurol","first-page":"814","article-title":"Impaired consciousness in epilepsy","volume":"11","author":"Blumenfeld","year":"2012","unstructured":"Blumenfeld\n              H.\n            \n          \n          Impaired consciousness in epilepsy.\nLancet Neurol.\n2012;\n11(9):\n814\u2013826."},{"issue":"(4)","key":"i1878-7177-70-3-124-b09","series-title":"Paediatr Anaesth","first-page":"281","article-title":"Laryngospasm: review of different prevention and treatment modalities","volume":"18","author":"Alalami","year":"2008","unstructured":"Alalami\n              AA,\n            \n            \n              Ayoub\n              CM,\n            \n            \n              Baraka\n              AS.\n            \n          \n          Laryngospasm: review of different prevention and treatment modalities.\nPaediatr Anaesth.\n2008;\n18(4):\n281\u2013288."},{"issue":"(2)","key":"i1878-7177-70-3-124-b10","series-title":"Pediatr Phys Ther","first-page":"159","article-title":"Effects of positioning on respiratory measures in individuals with cerebral palsy and severe scoliosis","volume":"23","author":"Littleton","year":"2011","unstructured":"Littleton\n              SR,\n            \n            \n              Heriza\n  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Progress"],"original-title":[],"link":[{"URL":"https:\/\/anesthesiaprogress.kglmeridian.com\/view\/journals\/anpr\/70\/3\/article-p124.xml","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/meridian.allenpress.com\/anesthesia-progress\/article-pdf\/70\/3\/124\/3278288\/i1878-7177-70-3-124.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/anesthesiaprogress.kglmeridian.com\/downloadpdf\/journals\/anpr\/70\/3\/article-p124.xml","content-type":"text\/html","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/anesthesiaprogress.kglmeridian.com\/downloadpdf\/journals\/anpr\/70\/3\/article-p124.xml","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,10,7]],"date-time":"2024-10-07T12:44:57Z","timestamp":1728305097000},"score":1,"resource":{"primary":{"URL":"https:\/\/anesthesiaprogress.kglmeridian.com\/view\/journals\/anpr\/70\/3\/article-p124.xml"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023]]},"references-count":11,"journal-issue":{"issue":"3"},"URL":"https:\/\/doi.org\/10.2344\/anpr-70-02-08","relation":{},"ISSN":["1878-7177","0003-3006"],"issn-type":[{"type":"electronic","value":"1878-7177"},{"type":"print","value":"0003-3006"}],"subject":[],"published":{"date-parts":[[2023]]}}}