General anesthesia for adults with mitochondrial myopathy.

Abstract

We 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.

• Authors: Sau Yee Chow, Kwee Lian Woon
• Journal: A & A case reports (A A Case Rep) Vol. 4 Issue 5 Pg. 52-7 (Mar 01 2015) ISSN: 2325-7237 [Electronic] United States
• PMID: 25730410 (Publication Type: Case Reports, Journal Article, Research Support, Non-U.S. Gov't, Review)

Topics

• Adult
• Anesthesia, General
• Cholecystectomy, Laparoscopic
• Female
• Gallbladder Diseases (complications, surgery)
• Hemorrhoidectomy
• Humans
• Intubation, Intratracheal
• Mitochondrial Myopathies (complications)