Anesthetic Management of Elderly Patients With Down Syndrome: A Case Report

Matthew D. Muller, Angela M. Capp, James Hill, Alan Hoffer, James R. Otworth, Patrick M. McQuillan, Anthony S. Bonavia

Research output: Contribution to journalArticlepeer-review

1 Scopus citations


In 1930, the life expectancy of patients with Down syndrome was about 10 years; today, their life expectancy is more than 60 years. With aging, there is an increased need for anesthesia and surgery. There is, however, no published information regarding the anesthetic management of older adults with Down syndrome. In this report, we described the anesthetic management of a 50-year-old woman with Down syndrome undergoing major cervical spine surgery. Components of the anesthetic that we thought would be difficult such as intravenous line placement and endotracheal intubation were accomplished without difficulty. Despite our best efforts, our patient nevertheless experienced both emergence delirium and postoperative vomiting. We advocate that physicians, advanced practice providers, and registered nurses be aware of the unique perianesthesia needs of older patients with Down syndrome.

Original languageEnglish (US)
Pages (from-to)243-249
Number of pages7
JournalJournal of Perianesthesia Nursing
Issue number3
StatePublished - Jun 2020

All Science Journal Classification (ASJC) codes

  • Medical–Surgical


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