Laparoscopic cholecystectomy in a patient with myotonic dystrophy

Takhar, Arjun; Thaper, Amit; Byrne, Andrew; Lobo, Dileep N.

doi:10.1258/jrsm.97.6.284

Cited by 5 publications

(3 citation statements)

References 5 publications

(3 reference statements)

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“…Of the modern inhalational agents, halothane 1,2 , isoflurane 21 and sevoflurane [22][23][24] have all been used in many cases without complications. Published reports on the use of desflurane in DM patients are still limited 10 .…”

Section: Inhalational Induction Drugsmentioning

confidence: 99%

Emergency Caesarean Section in a Patient with Myotonic Dystrophy: A Case of Failed Postoperative Extubation in a Patient with Mild Disease

Owen

Chu

2011

Anaesth Intensive Care

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A 21-year-old primiparous patient with subclinical myotonic dystrophy presented at a tertiary hospital at 38 weeks gestation in active labour, having previously been reviewed in the high-risk pregnancy clinic. A non-reassuring cardiotocogram and raised foetal scalp lactate necessitated an emergency caesarean section. On extubation following an otherwise unremarkable general anaesthetic, the patient required prompt re-intubation due to respiratory compromise, followed by a more gradual period of weaning from positive pressure ventilation. This review explores the implications of myotonic dystrophy for anaesthesia, discusses its multi-system involvement and highlights the difficulties in identifying at-risk patients in the perioperative setting.

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Section: Inhalational Induction Drugsmentioning

confidence: 99%

Emergency Caesarean Section in a Patient with Myotonic Dystrophy: A Case of Failed Postoperative Extubation in a Patient with Mild Disease

Owen

Chu

2011

Anaesth Intensive Care

View full text Add to dashboard Cite

show abstract

“…The development of myotonia represents an important problem for anesthesia because, if laryngeal and respiratory muscles are involved, intubation can be difficult or even impossible 17 . Potential trigger factors include the surgery, hypothermia, tremors, electrical or mechanical stimulation during or after the surgery, drugs (clofibrate, propranolol, potassium), and anesthetic agents, such as succinylcholine, and anticholinesterase drugs 18 . Treatment is mainly preventive, avoiding all triggering factors.…”

Section: Anesthesia Planning and Perioperative Factors Associated Witmentioning

confidence: 99%

“…Several studies have shown that 30-50% of the individuals susceptible to MH have myopathological changes 31 . Takhar et al 18 reported a case of videolaparoscopic cholecystectomy using alfentanil, propofol and sevoflurane, and nitrous oxide without neuromuscular blockers, resulting in elevated abdominal insufflation pressures around 20 mmHg. Complications related with the anesthetic technique were not observed.…”

Section: Anesthesia Planning and Perioperative Factors Associated Witmentioning

confidence: 99%