Document Detail


Total intravenous anesthesia in a 10-month-old patient with congenital myotonic dystrophy undergoing endoscopic third ventriculostomy -A case report-.
MedLine Citation:
PMID:  22949987     Owner:  NLM     Status:  PubMed-not-MEDLINE    
Abstract/OtherAbstract:
Myotonic dystrophy is a rare genetic disorder characterized by muscle atrophy and weakness. Surgical treatment of this condition poses various problems for the anesthesiologist. We describe the anesthetic management of a 10-month-old infant with congenital myotonic dystrophy, who was scheduled for endoscopic third ventriculostomy under general anesthesia. Anesthesia was induced with thiopental sodium, fentanyl, and vecuronium, and thereafter maintained via continuous infusion of propofol and remifentanil. The train-of-four ratio was monitored throughout the operation, and muscle relaxation was reversed with pyridostigmine and glycopyrrolate at the end of the procedure. We show that total intravenous anesthesia using propofol and remifentanil is a satisfactory anesthetic technique in very young patients with congenital myotonic dystrophy.
Authors:
Jung Hwa Joh; Ji Yeon Kim; Seung-Hye Baek; Jun-Gol Song; Yu Mi Lee; Joung Uk Kim
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Publication Detail:
Type:  Journal Article     Date:  2012-08-14
Journal Detail:
Title:  Korean journal of anesthesiology     Volume:  63     ISSN:  2005-7563     ISO Abbreviation:  Korean J Anesthesiol     Publication Date:  2012 Aug 
Date Detail:
Created Date:  2012-09-05     Completed Date:  2012-10-02     Revised Date:  2013-05-30    
Medline Journal Info:
Nlm Unique ID:  101502451     Medline TA:  Korean J Anesthesiol     Country:  Korea (South)    
Other Details:
Languages:  eng     Pagination:  169-72     Citation Subset:  -    
Affiliation:
Department of Anesthesiology and Pain Medicine, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea.
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