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Anesthetic Challenges and Strategies in a Child with Kawasaki Syndrome undergoing Surgical Intervention: A Case Report

Year: 2025

Type: article

Abstract: A 26-month-old male patient presented with swelling in the right hemi-scrotum, diagnosed as a hydrocele and a 44 x 14 mm hernia displacing the right testicle. He had been hospitalized 12 days earlier due to prolonged fever, leading to concerns about Kawasaki syndrome. Prior to surgery, a cardiovascular consultation was performed, revealing no complications. The patient received treatment with clindamycin, ASA, prednisolone, and intravenous immunoglobulin. Admitted to Beheshti Hospital for surgery, his vital signs were stable. Anesthesia considerations were complicated by Kawasaki syndrome, but after consultation, general anesthesia was administered using a Laryngeal Mask Airway. The surgical procedure lasted an hour and fifteen minutes, during which basic monitoring was conducted. Post-surgery, the patient was transferred to recovery and later admitted to the pediatric department for two days, ultimately being discharged without complications.

Source: Archives of Anesthesia and Critical Care

DOI: 10.18502/aacc.v11i2.17970

Authors: Alireza Babajani, Pegah Arman, Ahmad Moradi, Parasto Rahmati Torkhashvand, Yasin Ghodarzi

Institutions: Iran University of Medical Sciences, Hamedan University of Medical Sciences

Language: English

Topic: Kawasaki Disease and Coronary Complications

Subfield: Surgery

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: diamond

OpenAlex ID: W4407980683

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