[General anesthesia conducted twice in myotonic dystrophy].

Abstract

A 42-year-old woman with myotonic dystrophy underwent general anesthesia twice. In the first operation, muscle rigidity was recognized when the patient was placed on lithotomy position under anesthesia with thiopental and nitrous oxide. In the second operation, rigidity was not observed under vecuronium, sevoflurane-nitrous oxide anesthesia. Neuromuscular monitoring of this patient did not show any difference of neuromuscular blockade with vecuronium compared with other 9 normal patients. We conclude that vecuronium and sevoflurane can be used safely in a patient with myotonic dystrophy under neuromuscular monitoring.

• Authors: Y Ueda, T Okamoto, T Satoh
• Journal: Masui. The Japanese journal of anesthesiology (Masui) Vol. 42 Issue 5 Pg. 742-5 (May 1993) ISSN: 0021-4892 [Print] Japan
• PMID: 8099979 (Publication Type: Case Reports, Journal Article)

Chemical References

• Ethers
• Methyl Ethers
• Sevoflurane
• Vecuronium Bromide
• Nitrous Oxide

Topics

• Adult
• Anesthesia, General
• Anesthesia, Inhalation
• Ethers
• Female
• Humans
• Methyl Ethers
• Middle Aged
• Muscle Rigidity
• Myotonic Dystrophy
• Nitrous Oxide
• Sevoflurane
• Vecuronium Bromide