• A & A case reports · Mar 2015

    Review Case Reports

    General anesthesia for adults with mitochondrial myopathy.

    • Sau Yee Chow and Kwee Lian Woon.
    • From the *Singhealth Anaesthesiology Residency Program, Department of Anaesthesia and Surgical Intensive Care, Changi General Hospital, Singapore, Singapore; and †Department of Anaesthesia and Surgical Intensive Care, Changi General Hospital, Singapore, Singapore.
    • A A Case Rep. 2015 Mar 1;4(5):52-7.

    AbstractWe report the case of a 59-year-old woman with mitochondrial myopathy who underwent elective laparoscopic cholecystectomy and hemorrhoidectomy, and we review the literature discussing general anesthesia for adults with mitochondrial myopathy. Our management technique avoids neuromuscular-blocking drugs and uses a modified awake intubation method not previously described in such patients. We hope to improve patient safety by discussing evidence-based anesthetic concerns and complications specific to these uncommon patients and aid practitioners in devising a suitable anesthetic plan.

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