Skip to main content
Top
Published in: Journal of Anesthesia 3/2015

01-06-2015 | Short Communication

Dexmedetomidine and ketamine combination for a patient with xeroderma pigmentosa

Authors: Rakhee Goyal, Mubashir Syed Islam

Published in: Journal of Anesthesia | Issue 3/2015

Login to get access

Abstract

Patients of xeroderma pigmentosa (XP) have increased sensitivity to ultraviolet light and a defective nucleotide excision repair (NER) mechanism in their DNA. Several types of neurological, dermatological, and ophthalmological complications are common in these patients. There is increasing evidence of delayed recovery and worsening of neurological status following general anesthesia in such patients. Some reports have shown uneventful conduct of total intravenous anesthesia in patients of XP. The authors report a case of XP in a young girl for surgery, previously anesthetized with delayed recovery, managed successfully with a combination of intravenous dexmedetomidine and ketamine.
Literature
1.
go back to reference Masuda Y, Imaizumi H, Okanuma M, Narimatsu E, Asai Y, Namiki A. Anesthesia for a patient with xeroderma pigmentosum. Masui. 2002;51:169–71.PubMed Masuda Y, Imaizumi H, Okanuma M, Narimatsu E, Asai Y, Namiki A. Anesthesia for a patient with xeroderma pigmentosum. Masui. 2002;51:169–71.PubMed
2.
go back to reference Fjouji S, Bensghir M, Yafat B, Bouhabba N, Boutayeb E, Azendour H, Kamili ND. Postoperative neurological aggravation after anesthesia with sevoflurane in a patient with xeroderma pigmentosum: a case report. J Med Case Rep. 2013;7:73.PubMedCentralPubMedCrossRef Fjouji S, Bensghir M, Yafat B, Bouhabba N, Boutayeb E, Azendour H, Kamili ND. Postoperative neurological aggravation after anesthesia with sevoflurane in a patient with xeroderma pigmentosum: a case report. J Med Case Rep. 2013;7:73.PubMedCentralPubMedCrossRef
3.
go back to reference Miyazaki R, Nagata T, Kai T, Takahashi S. Anesthesia for a patient with xeroderma pigmentosum. Masui. 2007;56:439–41.PubMed Miyazaki R, Nagata T, Kai T, Takahashi S. Anesthesia for a patient with xeroderma pigmentosum. Masui. 2007;56:439–41.PubMed
4.
go back to reference Kraemer KH, Lee MM, Scotto J. Xeroderma pigmentosum. Cutaneous, ocular, and neurologic abnormalities in 830 published cases. Arch Dermatol. 1987;123:241–50.PubMedCrossRef Kraemer KH, Lee MM, Scotto J. Xeroderma pigmentosum. Cutaneous, ocular, and neurologic abnormalities in 830 published cases. Arch Dermatol. 1987;123:241–50.PubMedCrossRef
5.
go back to reference Brooks PJ. The 8,5′-cyclopurine-2′-deoxynucleosides: candidate neurodegenerative DNA lesions in xeroderma pigmentosum, and unique probes of transcription and nucleotide excision repair. DNA Repair (Amst). 2008;7:1168–79.CrossRef Brooks PJ. The 8,5′-cyclopurine-2′-deoxynucleosides: candidate neurodegenerative DNA lesions in xeroderma pigmentosum, and unique probes of transcription and nucleotide excision repair. DNA Repair (Amst). 2008;7:1168–79.CrossRef
6.
go back to reference Reitz M, Lanz E. DNA strand breaks in cells with DNA repair deficiency after halothane exposure in vitro. Arzneimittelforschung. 1993;43:418–20.PubMed Reitz M, Lanz E. DNA strand breaks in cells with DNA repair deficiency after halothane exposure in vitro. Arzneimittelforschung. 1993;43:418–20.PubMed
7.
go back to reference Karabiyik L, Sardaş S, Polat U, Kocabas NA, Karakaya AE. Comparison of genotoxicity of sevoflurane and isoflurane in human lymphocytes studied in vivo using the comet assay. Mutat Res. 2001;492:99–107.PubMedCrossRef Karabiyik L, Sardaş S, Polat U, Kocabas NA, Karakaya AE. Comparison of genotoxicity of sevoflurane and isoflurane in human lymphocytes studied in vivo using the comet assay. Mutat Res. 2001;492:99–107.PubMedCrossRef
8.
go back to reference Shrestha GS, Sah RP, Amatya AG, Shrestha N. Anaesthetic management of patients with xeroderma pigmentosum. A series of three cases. Nepal Med Coll J. 2011;13:231–2.PubMed Shrestha GS, Sah RP, Amatya AG, Shrestha N. Anaesthetic management of patients with xeroderma pigmentosum. A series of three cases. Nepal Med Coll J. 2011;13:231–2.PubMed
9.
go back to reference Oliveira CR, Elias L, Barros AC, Conceicao DB. Anesthesia in a patient with xeroderma pigmentosum: case report. Rev Bras Anestesiol. 2003;53:46–51.PubMed Oliveira CR, Elias L, Barros AC, Conceicao DB. Anesthesia in a patient with xeroderma pigmentosum: case report. Rev Bras Anestesiol. 2003;53:46–51.PubMed
10.
go back to reference Tobias JD. Dexmedetomidine: applications in pediatric critical care and pediatric anesthesiology. Pediatr Crit Care Med. 2007;8:115–31.PubMedCrossRef Tobias JD. Dexmedetomidine: applications in pediatric critical care and pediatric anesthesiology. Pediatr Crit Care Med. 2007;8:115–31.PubMedCrossRef
Metadata
Title
Dexmedetomidine and ketamine combination for a patient with xeroderma pigmentosa
Authors
Rakhee Goyal
Mubashir Syed Islam
Publication date
01-06-2015
Publisher
Springer Japan
Published in
Journal of Anesthesia / Issue 3/2015
Print ISSN: 0913-8668
Electronic ISSN: 1438-8359
DOI
https://doi.org/10.1007/s00540-014-1928-1

Other articles of this Issue 3/2015

Journal of Anesthesia 3/2015 Go to the issue