[Anesthesia in glucose 6-phosphate dehydrogenase-deficient patient: case report.].

Autor: Abreu MP; CET, SBA, Instituto Penido Burnier, Centro Médico de Campinas., Freire CC, Miura RS
Jazyk: portugalština
Zdroj: Revista brasileira de anestesiologia [Rev Bras Anestesiol] 2002 Nov; Vol. 52 (6), pp. 707-11.
DOI: 10.1590/s0034-70942002000600007
Abstrakt: Background and Objectives: Glucose 6-phosphate dehydrogenase (G6PD) deficiency is a relatively common enzymopathy, but there are few publications relating such condition to anesthesia. This report aimed at presenting a case of a G6PD-deficient patient, submitted to Achilles tendon tenotomy under intravenous anesthesia associated to spinal block.
Case Report: Male patient, 9 years old, 48 kg, with G6PD deficiency and peripheral polineuropathy, submitted to Achilles tendon tenotomy under general intravenous anesthesia with midazolam, propofol and fentanyl, associated to spinal block with 0.5% hyperbaric bupivacaine. At surgery completion patient awakened relaxed, without pain or other complaints, had a good evolution and was discharged without intercurrences.
Conclusions: According to the evolution of this case, spinal anesthesia with bupivacaine associated to total intravenous anesthesia with propofol has shown to be a safe technique for G6PD-deficient patients.
Databáze: MEDLINE