[Anesthetic considerations for a @entity1 with XXXX ].

@entity1 @entity5656 @entity66742 @entity85 @entity2332
We administered anesthesia for a 20-month-old @entity1 with @entity5656 who underwent orthopedic syndactyly repair on two occasions. Anesthetic considerations include the difficult fixation of the tracheal tube and iv cannulas and the risk of @entity2332 . Intravenous access placement was also difficult due to the @entity5656 and the @entity85 . In the first surgery, pharyngeal temperature fell to 34.4 degrees C despite the use of the 37 degrees C circulating water mattress and room temperature set to 26 degrees C. It gradually returned to 36 degrees C during the surgery. We applied Steri-Strip compound @entity66742 tincture to the skin to increase adhesiveness before taping the tracheal tube. It resulted in a good fixation but difficult removal. In the second surgery, we fixed the tracheal tube with a tube holder which enabled the fixation without the use of adhesive tapes to the skin. To maintain body temperature we used forced air warming device Bair Huggar, which was very useful to avoid @entity2332 but resulting in a rather high body temperature. In conclusion, a tube holder was an effective device to fix the tracheal tube in this @entity1 . Forced air warming device was useful to prevent @entity2332 .
