• Rev Esp Anestesiol Reanim · Aug 2014

    Case Reports

    Total intravenous anesthesia for aortic aneurysm replacement surgery in a patient with limb-girdle dystrophy.

    • A López Álvarez, A Román Fernández, V Vilanova Vázquez, M C Corujeira Rivera, I Areán González, and C Valiño Hortas.
    • Servicio de Anestesiología, Reanimación y Tratamiento del Dolor, Hospital Meixoeiro de Vigo (Complejo Hospitalario Universitario de Vigo), Vigo, Spain. Electronic address: lopez.alexo@gmail.com.
    • Rev Esp Anestesiol Reanim. 2014 Aug 1; 61 (7): 385-7.

    AbstractWe report the anesthetic management with total intravenous anesthesia of a 61-year-old male diagnosed with limb-girdle muscular dystrophy admitted for replacement of ascending aorta due to an aortic aneurysm. Limb-girdle muscular dystrophy belongs to a genetically heterogeneous group of muscular dystrophies involving shoulder and hip girdles. Although the risk of malignant hyperthermia does not seem to be increased in these patients compared with the general population, the exposure to inhaled anesthetics and succinylcholine should probably be avoided because these patients have a predisposition to hyperkalemia and rhabdomyolysis. We chose to use total intravenous anesthesia with propofol, remifentanil and muscle relaxants to reduce oxygen consumption, and later to reduce the doses of propofol and remifentanil. The combination of a carefully planned anesthetic strategy, anesthetic depth, and neuromuscular blockade monitoring is explained. Copyright © 2013 Sociedad Española de Anestesiología, Reanimación y Terapéutica del Dolor. Published by Elsevier España. All rights reserved.

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