Document Detail

Desflurane used in a patient with congenital insensitivity to pain with anhidrosis during septic shock.
MedLine Citation:
PMID:  15366409     Owner:  NLM     Status:  MEDLINE    
Congenital insensitivity to pain with anhidrosis (CIPA) is a rare autonomic recessive disorder characterized by congenital analgesia, absence of sweating and mental retardation. Because of these abnormalities, the anesthetic managements in patients with CIPA deserve special attention. Here we report a 22-year-old man with CIPA receiving left above-knee amputation due to severe lower extremity infection. General anesthesia was maintained with desflurane, an intervention that has never been reported, and the whole course of operation was uneventful. This is also the first reported case of CIPA in Taiwan.
Sheng-Chin Kao; Chien-Kun Ting; Kai-Wen Cheng; Su-Man Lin; Mei-Yung Tsou; Kwok-Hon Chan; Shen-Kou Tsai
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Journal of the Chinese Medical Association : JCMA     Volume:  67     ISSN:  1726-4901     ISO Abbreviation:  J Chin Med Assoc     Publication Date:  2004 Jun 
Date Detail:
Created Date:  2004-09-15     Completed Date:  2004-12-02     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101174817     Medline TA:  J Chin Med Assoc     Country:  China (Republic: 1949- )    
Other Details:
Languages:  eng     Pagination:  305-7     Citation Subset:  IM    
Department of Anesthesiology, Taipei Veterans General Hospital, Taipei, Taiwan, ROC.
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MeSH Terms
Hereditary Sensory and Autonomic Neuropathies / complications,  drug therapy*
Isoflurane / administration & dosage*,  analogs & derivatives*,  therapeutic use
Neuroprotective Agents / administration & dosage,  therapeutic use
Shock, Septic / complications*
Treatment Outcome
Reg. No./Substance:
0/Neuroprotective Agents; 26675-46-7/Isoflurane; 57041-67-5/desflurane

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