Anestesia para colecistectomía videolaparoscópica en paciente portador de enfermedad de Steinert. Relato de caso y revisiõn de la literatura

dc.contributorUniversidade Estadual Paulista (UNESP)
dc.creatorBisinotto, Flora Margarida Barra
dc.creatorFabri, Daniel Capucci
dc.creatorCalçado, Maida Silva
dc.creatorPerfeito, Paula Borela
dc.creatorTostes, Lucas Vieira
dc.creatorSousa, Gabriela Denardi
dc.date2014-05-27T11:24:38Z
dc.date2016-10-25T18:28:24Z
dc.date2014-05-27T11:24:38Z
dc.date2016-10-25T18:28:24Z
dc.date2010-03-01
dc.date.accessioned2017-04-06T01:40:41Z
dc.date.available2017-04-06T01:40:41Z
dc.identifierRevista Brasileira de Anestesiologia, v. 60, n. 2, 2010.
dc.identifier0034-7094
dc.identifier1806-907X
dc.identifierhttp://hdl.handle.net/11449/71589
dc.identifierhttp://acervodigital.unesp.br/handle/11449/71589
dc.identifier10.1590/S0034-70942010000200011
dc.identifierS0034-70942010000200011
dc.identifier2-s2.0-77953059475.pdf
dc.identifier2-s2.0-77953059475
dc.identifierhttp://dx.doi.org/10.1590/S0034-70942010000200011
dc.identifier.urihttp://repositorioslatinoamericanos.uchile.cl/handle/2250/892559
dc.descriptionBACKGROUND AND OBJECTIVES: Myotonic dystrophies are autosomal dominant neuromuscular diseases. Among them, myotonic dystrophy type 1 (MD1), or Steinert disease, is the most common in adults, and besides muscular involvement it also has important systemic manifestations. Myotonic dystrophy type 1 poses a challenge to the anesthesiologist. Those patients are more sensitive to anesthetics and prone to cardiac and pulmonary complications. Besides, the possibility of developing malignant hyperthermia and myotonic episodes is also present. CASE REPORT: This is a 39-year old patient with DM1 who underwent general anesthesia for videolaparoscopic cholecystectomy. Total intravenous anesthesia with propofol, remifentanil, and rocuronium was the technique chosen. Intercurrences were not observed in the 90-minute surgical procedure, but after extubation, the patient developed respiratory failure and myotonia, which made tracheal intubation impossible. A laryngeal mask was used, allowing adequate oxygenation, and mechanical ventilation was maintained until full recovery of the respiratory function. The patient did not develop further complications. CONCLUSIONS: Myotonic dystrophy type 1 presents several particularities to the anesthesiologist. Detailed knowledge of its systemic involvement along with the differentiated action of anesthetic drugs in those patients will provide safer anesthetic-surgical procedure.
dc.languagespa
dc.languageeng
dc.languagepor
dc.relationRevista Brasileira de Anestesiologia
dc.rightsinfo:eu-repo/semantics/openAccess
dc.subjectComplications, postoperative: respiratory failure
dc.subjectDiseases, muscular: myotonic dystrophy
dc.subjectSurgery, abdominal: cholecystectomy
dc.subjectatropine
dc.subjectcarbon dioxide
dc.subjectcreatine kinase
dc.subjectdipyrone
dc.subjectketoprofen
dc.subjectmetoclopramide
dc.subjectmidazolam
dc.subjectneostigmine
dc.subjectoxygen
dc.subjectpropofol
dc.subjectranitidine
dc.subjectremifentanil
dc.subjectrocuronium
dc.subjecttramadol
dc.subjectabdominal pressure
dc.subjectadductor pollicis muscle
dc.subjectadult
dc.subjectanesthetic recovery
dc.subjectarterial gas
dc.subjectartificial ventilation
dc.subjectblood oxygen tension
dc.subjectblood pressure measurement
dc.subjectbody temperature monitoring
dc.subjectcapnography
dc.subjectcase report
dc.subjectcholecystectomy
dc.subjectcholelithiasis
dc.subjectclinical feature
dc.subjectconsciousness
dc.subjectcontinuous infusion
dc.subjectconvalescence
dc.subjectcyanosis
dc.subjectelectrocardiogram
dc.subjectendotracheal intubation
dc.subjectendotracheal tube
dc.subjectextubation
dc.subjectfamily history
dc.subjectgeneral anesthesia
dc.subjecthand muscle
dc.subjectheart left ventricle overload
dc.subjectheart repolarization
dc.subjecthemostasis
dc.subjecthuman
dc.subjectintravenous anesthesia
dc.subjectlaryngeal mask
dc.subjectlung function
dc.subjectmale
dc.subjectmuscle relaxation
dc.subjectmyotonia
dc.subjectmyotonic dystrophy
dc.subjectmyotonic dystrophy type 1
dc.subjectoperation duration
dc.subjectoxygenation
dc.subjectpatient monitoring
dc.subjectpneumoperitoneum
dc.subjectpulse oximetry
dc.subjectrespiratory failure
dc.subjectrespiratory function
dc.subjectscalpel
dc.subjectsibling
dc.subjectAdult
dc.subjectAnesthesia
dc.subjectCholecystectomy, Laparoscopic
dc.subjectHumans
dc.subjectMale
dc.subjectMyotonic Dystrophy
dc.subjectVideo-Assisted Surgery
dc.titleAnestesia para colecistectomía videolaparoscópica en paciente portador de enfermedad de Steinert. Relato de caso y revisiõn de la literatura
dc.typeOtro


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