• Deoclécio Tonelli, Iglair Pinho, Paula de Camargo Neves Sacco, Eduardo Piccinini Vianna, José Correia de Vasconcellos, Raquel Vasconcelos de Souza, and Sidney Umakoshi.
• Faculdade de Medicina do ABC.
• Rev Bras Anestesiol. 2003 Jun 1; 53 (3): 392-5.

Background And ObjectivesDuchennes Muscular Dystrophy is an X-linked recessive disorder, generally diagnosed in childhood, which progressively worsens to degenerate respiratory function. This report aimed at presenting the case of a patient with Duchennes Muscular Dystrophy diagnosed 2 years before, submitted to postectomy under general anesthesia with ketamine S.Case ReportMale patient, 9 years old, with Duchennes Muscular Dystrophy diagnosed 2 years before, submitted to general anesthesia with intravenous levo-ketamine (1.5 mg.kg-1), under spontaneous ventilation manually assisted by Mapleson A Baraka system and penile block with 25 mg of 0.5% bupivacaine. Monitoring consisted of non invasive blood pressure, pulse oximetry, cardioscopy and esophageal temperature. There were no incidents during surgery, and after surgery patient had a few vomiting episodes, without other significant complications. Patient remained in hospital for 24 hours and was discharged asymptomatic.ConclusionsVery careful pre-anesthetic evaluation, adequate monitoring and drugs not predisposing to complications make surgery and postoperative period safe for Duchennes Muscular Dystrophy patients.

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