Anesthesia for videolaparoscopic cholecystectomy in a patient with Steinert disease. Case report and review of the literature
| Autor: | Bisinotto, Flora Margarida Barra [UNESP], Fabri, Daniel Capucci, Calçado, Maida Silva, Perfeito, Paula Borela, Tostes, Lucas Vieira, Sousa, Gabriela Denardi |
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| Přispěvatelé: | Universidade Federal do Triângulo Mineiro (UFTM), Universidade Estadual Paulista (Unesp), Universidade Federal de São Paulo (UNIFESP) |
| Jazyk: | Spanish; Castilian |
| Rok vydání: | 2010 |
| Předmět: |
Male
blood pressure measurement patient monitoring blood oxygen tension body temperature monitoring rocuronium Video-Assisted Surgery cholecystectomy heart repolarization consciousness endotracheal tube ranitidine respiratory function adductor pollicis muscle Myotonic Dystrophy Anesthesia sibling intravenous anesthesia endotracheal intubation family history adult operation duration artificial ventilation respiratory failure [Complications postoperative] continuous infusion heart left ventricle overload pulse oximetry myotonia midazolam muscle relaxation Cholecystectomy Laparoscopic oxygenation pneumoperitoneum arterial gas metoclopramide remifentanil tramadol ketoprofen extubation myotonic dystrophy [Diseases muscular] atropine electrocardiogram cholecystectomy [Surgery abdominal] laryngeal mask case report Humans dipyrone human myotonic dystrophy type 1 propofol creatine kinase cyanosis neostigmine hand muscle respiratory failure carbon dioxide lung function convalescence scalpel capnography general anesthesia clinical feature anesthetic recovery hemostasis abdominal pressure oxygen cholelithiasis |
| Zdroj: | Scopus Repositório Institucional da UNESP Universidade Estadual Paulista (UNESP) instacron:UNESP |
| Popis: | Submitted by Vitor Silverio Rodrigues (vitorsrodrigues@reitoria.unesp.br) on 2014-05-27T11:24:38Z No. of bitstreams: 0Bitstream added on 2014-05-27T14:35:44Z : No. of bitstreams: 1 2-s2.0-77953059475.pdf: 652790 bytes, checksum: cca240e80000ae3bc411a195a3a629a2 (MD5) Made available in DSpace on 2014-05-27T11:24:38Z (GMT). No. of bitstreams: 0 Previous issue date: 2010-03-01 BACKGROUND AND OBJECTIVES: Myotonic dystrophies are autosomal dominant neuromuscular diseases. Among them, myotonic dystrophy type 1 (MD1), or Steinert disease, is the most common in adults, and besides muscular involvement it also has important systemic manifestations. Myotonic dystrophy type 1 poses a challenge to the anesthesiologist. Those patients are more sensitive to anesthetics and prone to cardiac and pulmonary complications. Besides, the possibility of developing malignant hyperthermia and myotonic episodes is also present. CASE REPORT: This is a 39-year old patient with DM1 who underwent general anesthesia for videolaparoscopic cholecystectomy. Total intravenous anesthesia with propofol, remifentanil, and rocuronium was the technique chosen. Intercurrences were not observed in the 90-minute surgical procedure, but after extubation, the patient developed respiratory failure and myotonia, which made tracheal intubation impossible. A laryngeal mask was used, allowing adequate oxygenation, and mechanical ventilation was maintained until full recovery of the respiratory function. The patient did not develop further complications. CONCLUSIONS: Myotonic dystrophy type 1 presents several particularities to the anesthesiologist. Detailed knowledge of its systemic involvement along with the differentiated action of anesthetic drugs in those patients will provide safer anesthetic-surgical procedure. UFTM CET/SBA UFTM FMB-UNESP CET/SBA del Hospital Escuela UFTM Hospital São Paulo - UNIFESP Anestesióloga del Hospital Escuela UFTM FMB-UNESP |
| Databáze: | OpenAIRE |
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