Perioperative management of bronchoscopy in a child patient with central core disease: A case report and literature review

• Published in: International journal of surgery case reports Vol. 118; p. 109629
• Main Authors: Li, Hong-bo, Ji, Xiang-Lin, Nie, Pei-he, Sun, Neng-hong, Li, Rui-hua
• Format: Journal Article
• Language: English
• Published: Netherlands Elsevier Ltd 01.05.2024; Elsevier
• Subjects: Bronchoalveolar lavage; Case Report; Central core disease; Malignant hyperthermia; Perioperative management; Case report; Perioperative management; Malignant hyperthermia; Bronchoalveolar lavage; Central core disease
• ISSN: 2210-2612; 2210-2612
• DOI: 10.1016/j.ijscr.2024.109629

We described the perioperative management of a child patient with central core disease for bronchoscopy with bronchoalveolar lavage. It is safe to avoid triggering agents (volatile anesthetics and succinylcholine) probably in preventing this appearance of malignant hyperthermia (MH). It is important to recognize potential complications and know how to prevent and manage them in patients with this condition. A 5-year-old boy (weight: 8.8 kg; height: 63 cm) presented to the pediatric department after five days of intermittent fever (highest body temperature is 39.3 °C) and cough, and aggravation 1 day, meanwhile he had phlegm in throat but he couldn't cough out. The child was found to have motor retardation at his one-month-old physical examination, then genetic analysis showed central core disease. Bronchoscopy with bronchoalveolar lavage was performed for better treatment under the premise of symptomatic treatment. The patients with central core disease are particularly to develop malignant hyperthermia, so adequate precautions are in place to prevent and treat MH before anesthetic induction. The anesthesiologists need to make adequate preoperative anesthesia management strategies to ensure the safety of the child with central core disease for bronchoscopy with bronchoalveolar lavage. The child was discharged from the hospital one week after anti-inflammatory and anti-asthmatic treatment. We summarized the anesthetic precautions and management in patients with central core disease, meanwhile we offered some suggestions about anesthetic focus on bronchoscopy with bronchoalveolar lavage. •Good perioperative management of bronchoscopy in a child patient with central core disease is necessary for good prognosis.•We summarized the anesthetic precautions and management in patients with central core disease.•We offered some suggestions about anesthetic focus on bronchoscopy with bronchoalveolar lavage.