منابع مشابه
Anaesthesia for major abdominal surgery in a patient with myotonia dystrophica.
A case report is presented of a woman with known myotonia dystrophica, who required partial gastric resection and cholecystectomy. Neuromuscular blockade was obtained using a single dose of vecuronium, and neuromuscular function was determined by the "train-of-four count" technique. The intraoperative course was uneventful, and it was not necessary to use neostigmine to antagonize neuromuscular...
متن کاملAnaesthesia and myotonia.
The myotonias are a group of uncommon disorders. All display a characteristic electromyographic picture and some of the disorders have systemic manifestations. They are important to the anaesthetist for several reasons. Anaesthetic and surgical interventions may induce myotonia which, when initiated, may complicate the course of anaesthesia and be difficult to abolish. Furthermore, patients oft...
متن کاملMyotonia dystrophica with heart involvement: an electron microscopic study of skeletal, cardiac, and smooth muscle.
The electron microscopic features of the striated skeletal muscle, the striated cardiac muscle, and the smooth muscle from a woman who had been suffering for many years from myotonia dystrophica with cardiac involvement are described. The skeletal muscle was studied at two different stages of the disease. In the first material the main changes consisted of centrally situated nuclei, disorganisa...
متن کاملAnaesthesia for correction of oesophageal stricture in a patient with recessive epidermolysis bullosa dystrophica: case report.
Epidermolysis bullosa dystrophica is a rare hereditary disorder which presents significant anaesthetic problems. These include malnutrition and anaemia; electrolyte imbalance in severe cases; renal failure and amyloidosis in progressive disease; association with porphyria; a history of steroid therapy. Technical problems associated with the necessity to avoid trauma to the skin and mucous membr...
متن کاملNegative extradural pressure may not be caused by tenting of the dura.
Sir,—We read with interest the review article on anaesthesia and myotonia [1]. Myotonia dystrophica is an uncommon disorder with as yet no consensus of opinion regarding the ideal anaesthetic for these patients. Propofol has been used in this disorder with variable responses, including prolonged recovery, altered dose–response curves and precipitation of the myotonia. We report three additional...
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ژورنال
عنوان ژورنال: Anaesthesia
سال: 1989
ISSN: 0003-2409,1365-2044
DOI: 10.1111/j.1365-2044.1989.tb13615.x