Down Syndrome
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Down syndrome: • Highly associated with CHD 50%, cyanotic 8%(mainly TOF) A→ C1-2 subluxation, subglottic stenosis, large tongue → difficult intubation, avoid neck extension B→ C→ CHD, TOF, CHF, Tet spells, Rt→ Lt shunt ( be meticulous about air in the IV) M→ hypothyroidism, hypothermia CNS→ MR
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