Anesthesia for videolaparoscopic cholecystectomy in a patient with Steinert disease. Case report and review of the literature
| العنوان: | Anesthesia for videolaparoscopic cholecystectomy in a patient with Steinert disease. Case report and review of the literature |
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| المؤلفون: | Bisinotto, Flora Margarida Barra [UNESP], Fabri, Daniel Capucci, Calçado, Maida Silva, Perfeito, Paula Borela, Tostes, Lucas Vieira, Sousa, Gabriela Denardi |
| المساهمون: | Universidade Federal do Triângulo Mineiro (UFTM), Universidade Estadual Paulista (Unesp), Universidade Federal de São Paulo (UNIFESP) |
| المصدر: | Scopus Repositório Institucional da UNESP Universidade Estadual Paulista (UNESP) instacron:UNESP |
| سنة النشر: | 2010 |
| مصطلحات موضوعية: | 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 |
| الوصف: | 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 |
| اللغة: | Spanish; Castilian |
| الوصول الحر: | https://explore.openaire.eu/search/publication?articleId=od______3056::d428d5285314213f2c6a9595b5927547Test |
| حقوق: | OPEN |
| رقم الانضمام: | edsair.od......3056..d428d5285314213f2c6a9595b5927547 |
| قاعدة البيانات: | OpenAIRE |
| الوصف غير متاح. |