Anesthetic Management of a Patient With Carnitine-Acylcarnitine Translocase Deficiency
Bibliographic record
Abstract
Carnitine-acylcarnitine translocase (CACT) deficiency is a rare disorder of mitochondrial fatty acid metabolism that results in an acute encephalopathic and/or myopathic disorder. Carnitine and CACT play an essential role in the transport of fatty acids into the mitochondria. The deficiency leads to the reduced transport of long-chain fatty acids into the mitochondria, thereby limiting the use of fatty acids for energy production especially during prolonged fasting, febrile illnesses, increased muscular activity, and other periods of systemic stress. We present the anesthetic management of a 10-year-old girl, diagnosed with CACT deficiency at birth, who presented for multiple osteotomies. The preoperative evaluation of such patients is presented, previous reports of anesthetic care are reviewed, and options for intraoperative care are discussed. J Med Cases. 2018;9(5):127-130 doi: https://doi.org/10.14740/jmc3044w
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How this classification was reachedexpand
Full frame machine prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.000 | 0.002 |
| Meta-epidemiology (narrow) | 0.001 | 0.000 |
| Meta-epidemiology (broad) | 0.001 | 0.001 |
| Bibliometrics | 0.001 | 0.001 |
| Science and technology studies | 0.001 | 0.001 |
| Scholarly communication | 0.001 | 0.001 |
| Open science | 0.001 | 0.001 |
| Research integrity | 0.002 | 0.002 |
| Insufficient payload (model declined to judge) | 0.001 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".