SUCCESSFUL ANAESTHETIC MANAGEMENT OF AN INFANT WITH CUSHING’S SYNDROME – A RARE CASE REPORT

Aims: There is no reported case of successful anaesthetic management of an infant with Cushing’s syndrome posted for adrenalectomy. Here, we share our experience in successfully managing such a patient.

Presentation of Case: A 4 month old infant having Cushing’s syndrome was admitted in the hospital with respiratory tract infection and diarrhoea. After proper optimisation, she was posted for left adrenalectomy. Careful anaesthetic induction, endotracheal intubation, close intraoperative monitoring, strict aseptic precautions and postoperative steroid supplementation were followed.

Discussion: Obesity, cardiovascular instability, electrolyte disturbances, glucose intolerance and immunosuppression make the anaesthetic management challenging.

Conclusion: Adequate preoperative optimisation, skilled intraoperative anaesthetic management and careful postoperative care can result in a good outcome.