Total thyroidectomy in patient with McArdle's syndrome: Anaesthetic management

Autor: L. Barrios Rodríguez, J.D. Leal del Ojo del Ojo, I. Morgado Muñoz, J.J. Fedriani de Matos, A.V. Quintero Salvago
Rok vydání: 2019
Předmět:
Zdroj: Revista Española de Anestesiología y Reanimación (English Edition). 66:163-166
ISSN: 2341-1929
DOI: 10.1016/j.redare.2018.10.003
Popis: McArdle disease or type V glycogenosis is a rare metabolic myopathy consisting of muscle loss and weakness. These patients have risks associated with anaesthesia. They can present with hypoglycaemia, rhabdomyolysis, acute renal failure, and electrolyte changes. It has also been associated with a higher incidence of malignant hyperthermia during the anaesthetic procedure. Intermittent compression due to the measurement of non-invasive pressure, postures on the operating table that may cause muscle contractures, or tremor caused by hypothermia or anaesthesia itself, may trigger rhabdomyolysis in these patients. In this article we present our experience in submitting a patient with McArdle's syndrome to general anaesthesia for total thyroidectomy due to multinodular euthyroid goitre.
Databáze: OpenAIRE