Myotonic Dystrophy and Anesthetic Challenges: A Case Report and Review
Joint Authors
Yarmush, Joel
Mangla, Chanchal
Bais, Kimmy
Source
Case Reports in Anesthesiology
Issue
Vol. 2019, Issue 2019 (31 Dec. 2019), pp.1-9, 9 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2019-03-20
Country of Publication
Egypt
No. of Pages
9
Main Subjects
Abstract EN
Providing anesthesia to patients with myotonic dystrophy (DM) can be very challenging due to the multisystemic effects of the disease and extreme sensitivity of these patients to sedatives, opioids, and anesthetic agents.
Other factors such as hypothermia, shivering, or mechanical or electric stimulation during surgery can precipitate myotonia which is difficult to abolish and can lead to further complications.
Generally, local or regional anesthesia is preferred to avoid the complications associated with general anesthesia in this group.
However there are several case reports of successful use of general anesthesia (with or without volatile agents and with or without opioids).
These general anesthetic cases led to postoperative admission to the regular floor or ICU.
We present a case of a woman with a history of DM who underwent robotic assisted laparoscopic hysterectomy under general anesthesia and was discharged home on the same day.
American Psychological Association (APA)
Mangla, Chanchal& Bais, Kimmy& Yarmush, Joel. 2019. Myotonic Dystrophy and Anesthetic Challenges: A Case Report and Review. Case Reports in Anesthesiology،Vol. 2019, no. 2019, pp.1-9.
https://search.emarefa.net/detail/BIM-1133464
Modern Language Association (MLA)
Mangla, Chanchal…[et al.]. Myotonic Dystrophy and Anesthetic Challenges: A Case Report and Review. Case Reports in Anesthesiology No. 2019 (2019), pp.1-9.
https://search.emarefa.net/detail/BIM-1133464
American Medical Association (AMA)
Mangla, Chanchal& Bais, Kimmy& Yarmush, Joel. Myotonic Dystrophy and Anesthetic Challenges: A Case Report and Review. Case Reports in Anesthesiology. 2019. Vol. 2019, no. 2019, pp.1-9.
https://search.emarefa.net/detail/BIM-1133464
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1133464