Anesthetic management for cardioverter-defibrillator implantation in a patient with Kearns-Sayre syndrome.

Abstract

Kearns-Sayre syndrome (KSS) is a rare mitochondrial myopathy and often involves cardiac conduction abnormality and muscle weakness. We report a patient with KSS who had an implantable cardioverter-defibrillator (ICD) implanted during general anesthesia with propofol and nitrous oxide (N2O). These anesthetics did not show any effects on respiration, cardiac conduction, or neuromuscular transmission in this case. The surgery was performed successfully, and the postoperative period was uneventful. The authors recommend that propofol and N2O are suitable general anesthetics for ICD implantation in KSS patients.

• Authors: Koji Hara, Takeyoshi Sata, Akio Shigematsu
• Journal: Journal of clinical anesthesia (J Clin Anesth) Vol. 16 Issue 7 Pg. 539-41 (Nov 2004) ISSN: 0952-8180 [Print] United States
• PMID: 15590260 (Publication Type: Case Reports, Journal Article)

Chemical References

• Anesthetics, Combined
• Anesthetics, Inhalation
• Anesthetics, Intravenous
• Nitrous Oxide
• Propofol

Topics

• Adult
• Anesthetics, Combined
• Anesthetics, Inhalation
• Anesthetics, Intravenous
• Defibrillators, Implantable
• Female
• Humans
• Kearns-Sayre Syndrome (complications)
• Nitrous Oxide
• Propofol