ANESTHETIC MANAGEMENT OF A PATIENT WITH CHURG - STRAUSS SYNDROME WHO UNDERWENT REVISION ENDOSCOPIC SINUS SURGERY - CASE REPORT

Churg-strauss syndrome is a rare disease that causes inflammation of small to medium vessels. Diagnostic is mainly clinical with; asthma, eosinophilia and additional vasculitis of multiple organ systems. The anesthesic management of patient with CSS could be complicated by cholinesterase deficiency, hypersensitivity of the airway, chronic steroid usage and multiple organ dysfunctions. Here; we describe our management of a patient with CSS who underwent revision endoscopic sinus surgery under general anesthesia. The patient had been suffering from asthma for the last 8 years and she was diagnosed with CSS 2 years previously. During the preoperative period; inhaled salbutamol, azathiopirine and oral prednisone were maintained until the operation day, in the morning of surgery she was premedicated with midazolam and hydrocortisone. The anesthesia was induced with propofol, fentanyl and inhaled sevoflurane, any muscle relaxant was not administreted during surgery as there was no need for muscle relaxation for surgery. The surgery was completed uneventfully.