[Anesthetic management with continuous epidural buprenorphine of a patient with dystrophia myotonica].

Abstract

We report an anesthetic management of a 45 year-old female patient with dystrophia myotonica who was scheduled for abdominal total hysterectomy. The patient was diagnosed as dystrophia myotonica 8 years ago. Epidural catheterization was performed through Th12-L1 interspace and spinal anesthesia was performed through L2-3 interspace using 3.3 ml of 0.5% bupivacaine. Adequate block below Th5 level was obtained. The intraoperative course of anesthesia was uneventful. Moreover, the continuous epidural administration of buprenorphine gave a satisfactory postoperative pain relief and no respiratory depression was observed. Spinal or epidural anesthesia seems to be effective and safe for the patient with dystrophia myotonica.

• Authors: A Kawamura, S Kashimoto, T Yamaguchi, M Kume, T Kumazawa
• Journal: Masui. The Japanese journal of anesthesiology (Masui) Vol. 43 Issue 9 Pg. 1392-4 (Sep 1994) ISSN: 0021-4892 [Print] Japan
• PMID: 7967042 (Publication Type: Case Reports, Clinical Trial, English Abstract, Journal Article)

Chemical References

• Buprenorphine

Topics

• Anesthesia, Epidural
• Anesthesia, Spinal
• Buprenorphine (administration & dosage)
• Female
• Humans
• Hysterectomy
• Leiomyoma (complications, surgery)
• Middle Aged
• Muscular Dystrophies (complications)
• Pain, Postoperative (drug therapy)
• Uterine Neoplasms (complications, surgery)