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Introduction Over the last years the field of pediatric and neonatal anesthesia has become a recognized subspecialty in many countries of the world and the need for appropriate training and availability of a specially equipped environment has now been commonly accepted. In order to standardize and guarantee the same level of care for an infant or child definition of the minimal requirements for training, equipment and hospital organization are required. For this purpose, the committee of the Italian Society of Pediatric Anesthesia, Analgesia and Intensive Care (SIAATIP - Società Italiana di Anestesia, Analgesia e Terapia Intensiva Pediatrica), formed of experts in the field of pediatric anesthesia and intensive care, has decided to release a statement for the minimal requirements to deliver safe pediatric anesthesia. Methodology For level of evidences and strength of recommendations the Society referred to the document produced by the National Program for Guidelines (PNLG) of the Italian Superior Health Institute, and to its methodological manual available on the official website www.snlgiss. it. Since it is not a clinical-experimental work, the SIAATIP committee decided to use the Italian scheme adopted by the PNLG Content and purpose The SIAATIP Committee established that the skills in pediatric and neonatal anesthesia must follow the minimal standards of safety according to the indications of literature and of international scientific community, adapted them to Italian health organizational reality. The purpose of this recommendations is to establish the minimum standards necessary for professional competence and organization of hospitals to ensure pediatric and neonatal anesthesia procedures with maximum safety, effectiveness and efficiency by reducing the risks and complications, pursuing the maximum strictness in their application. [ABSTRACT FROM AUTHOR]

A case of a male child who undergone two interventions (pylorotomy at about two months of age, bilateral orchidopexy and clearing of glans penis adhesions at two years), both of them were conducted in ignorance of the underlying genetic disease is presented. All two the perioperative periods were uneventful. After a review of literature relating to AS, a few suggestions are presented. [ABSTRACT FROM AUTHOR]