oa Southern African Journal of Anaesthesia and Analgesia - Anaesthesia and sirenomelia (mermaid syndrome) : syndromic vignettes in anaesthesia



Extracted from text ... SYNDROMIC VIGNETTES IN ANAESTHESIA Southern African Journal of Anaesthesia & Analgesia - August 2005 94 Anaesthesia and Sirenomelia (Mermaid Syndrome) fied, but the liver and spleen were normally situated. X-ray of the lower limbs showed a normal looking pelvis, femurs, tibiae and fibulae, and abnormal feet. Full blood count, urea and electrolytes were normal. Neither the paediatric surgeon nor anaesthesiologist had prior experience of this clinical problem and on a Sunday, access to a reference library was not possible. A colostomy, and if possible a stoma for urinary drainage, was planned. Anaesthesia was induced with halothane and intubation achieved ..


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