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

Alireza  Babajani; Pegah  Arman; Ahmad  Moradi; Parasto Rahmati  Torkhashvand; Yasin  Ghodarzi

doi:10.18502/aacc.v11i2.17970

Alireza Babajani Department of Anesthesia Technology, School of Allied Medical Sciences, Iran University of Medical Sciences, Tehran, Iran.
Pegah Arman Department of Anesthesiology, School of Paramedicine, Hamadan University of Medical Sciences, Hamadan, Iran.
Ahmad Moradi Department of Anesthesiology, School of Medicine, Besat Hospital, Hamadan University of Medical Sciences, Hamadan, Iran.
Parasto Rahmati Torkhashvand Department of Anesthesiology, School of Paramedicine, Hamadan University of Medical Sciences, Hamadan, Iran
Yasin Ghodarzi Department of Anesthesiology, School of Paramedicine, Hamadan University of Medical Sciences, Hamadan, Iran.

DOI: https://doi.org/10.18502/aacc.v11i2.17970

Keywords: Kawasaki syndrome; General anesthesia; Surgical procedure; Anesthesia considerations

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.