Abstract
This case report delves into the intricate anesthetic management of a 17-year-old male presenting Nail Patella Syndrome (NPS) and end-stage renal failure necessitating emergency open appendectomy. NPS, an uncommon hereditary disorder, manifests with distinct abnormalities affecting the nails, patellae, elbows, and iliac crests, thereby complicating perioperative care. The patient’s extensive medical history, notably including hypertension and chronic renal disease, posed formidable challenges during anesthesia administration. Addressing these complexities required a meticulous approach, tailoring anesthetic goals to mitigate risks while striving for optimal outcomes. Despite the inherent intricacies associated with NPS, successful perioperative management was realized through careful planning and execution of anesthesia protocols. This case underscores the critical role of individualized care and interdisciplinary collaboration in navigating the multifaceted challenges posed by rare genetic conditions, especially in emergency surgical scenarios. By shedding light on the nuanced considerations and strategies employed in this instance, this report contributes valuable insights to the broader discourse surrounding the management of NPS patients undergoing surgical interventions, enriching our understanding of effective approaches in emergency settings.
Keywords: Anesthetic management, Emergency appendectomy, Hypertension, Nail Patella Syndrome, Renal failure.