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Abstract

Introduction: The anesthetic care of this pediatric patient with coloboma and indication for surgical intervention due to a dog bite injury is discussed in this case report. Coloboma can be part of several syndromes, and thus, perioperative risk for complications is increased, particularly elevated intraocular pressure during airway manipulation.

Case Presentation: We selected Total Intravenous Anesthesia using a propofol-based general anesthetic without inhalational agents. We did this to maintain hemodynamic stability and circumvent the specific risks associated with coloboma. We selected Total Intravenous Anesthesia because it has been demonstrated to provide controlled anesthesia without increasing intraocular pressure, a vital consideration in this case.

Discussion: The successful management of this complex case demonstrates the central role of personalized anesthetic planning in obtaining better outcomes for pediatric trauma patients with specific congenital anomalies. Total Intravenous Anesthesia proved effective in maintaining controlled anesthesia while minimizing the risk of raised intraocular pressure.

Conclusion: This case serves as a reminder of the necessity of having an overall understanding of unusual congenital disorders like coloboma in the context of trauma. It is also a reminder of the critical role that the anesthesiologist plays in ensuring perioperative safety and the success of surgery. The contribution of the anesthesiologist is not only necessary but integral to the medical team, and this case serves as a reminder of that.

Keywords: pediatric anesthesia, trauma, Coloboma, total Intravenous anesthesia, Dog bite, Intraocular pressure