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doi: 10.1097/ACC.0b013e31829c670c
Case Reports: Case Report

Perioperative Management of Alcohol Withdrawal in an Achondroplastic Dwarf with an Unstable Cervical Spine: A Difficult Management Dilemma

Rochlen, Lauryn R. MD; Fraumann, Robert K. MD, JD

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Abstract

Patients presenting with alcohol withdrawal syndrome have an increased risk of perioperative events related to hemodynamic and respiratory instability. We present the case of a 49-year-old achondroplastic dwarf in alcohol withdrawal with cervical spinal cord injury and aortic dissection requiring emergency surgery. Due to conflicting perioperative management goals, a decision was made to delay surgery until the patient became clinically stable. Additional options might have been explored and resulted in better outcome.

© 2013 International Anesthesia Research Society

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