Perioperative management of a female diagnosed with heterozygous X-linked adrenoleukodystrophy for shoulder arthroscopy
| Autor: | S. Zhang Wang, N. Martínez Merino, E. Herrera López, P. Mellado Miras, M. Álvarez Fernández, L.E. Muñoz Alameda |
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| Rok vydání: | 2019 |
| Předmět: |
business.industry
Reflux General Medicine Disease Perioperative medicine.disease Hypotonia Sevoflurane Fentanyl Osteopenia 03 medical and health sciences 0302 clinical medicine 030202 anesthesiology Anesthesia Medicine Adrenoleukodystrophy medicine.symptom business 030217 neurology & neurosurgery medicine.drug |
| Zdroj: | Revista Española de Anestesiología y Reanimación (English Edition). 66:113-116 |
| ISSN: | 2341-1929 |
| DOI: | 10.1016/j.redare.2018.08.013 |
| Popis: | X-linked adrenoleukodystrophy (X-ALD) belongs to a family of rare diseases due to inborn errors of metabolism. It has a wide spectrum of clinical manifestations that anaesthesiologists should recognise during the perioperative period (respiratory centre dysfunction, hypotonia, adrenal or hepatic failure, gastroesophageal reflux disease, osteopenia, seizures). The case is presented of a 42-year-old X-linked adrenoleukodystrophy female carrier, who underwent combined general and an ultrasound-guided interscalene brachial plexus block anaesthesia for shoulder arthroscopy. Induction was performed with thiopentone and fentanyl, and sevoflurane was used as inhaled maintenance agent. No events were recorded during the procedure. Her post-operative recovery was satisfactory and she was later discharged home. |
| Databáze: | OpenAIRE |
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