Possible local anesthetic resistance in Emery–Dreifuss muscular dystrophy during regional anesthesia
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چکیده
منابع مشابه
Possible local anesthetic resistance in Emery–Dreifuss muscular dystrophy during regional anesthesia
31-year-old man with Emery–Dreifuss muscular dystrophy (EDMD) presenting for bilateral Achilles lengthening and equinoplanovalgus deformity correction. We performed bilateral popliteal sciatic and femoral nerve blockade, using ultrasound guidance and nerve stimulator confirmation, mainly to avoid some potential pitfalls of general anesthesia and airway instrumentation. However, the patient appe...
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BACKGROUND Duchenne muscular dystrophy (DMD) and Becker muscular dystrophy (BMD) are associated with life-threatening perioperative complications, including rhabdomyolysis, hyperkalemia, and hyperthermia. Current recommendations contraindicate use of succinylcholine and volatile anesthetics; however, the latter recommendation remains controversial. OBJECTIVE To review the perioperative outcom...
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BACKGROUND Local anesthetics offer the benefits of extended analgesia with greater patient satisfaction and faster rehabilitation compared with intravenous morphine. These benefits, however, can be offset by adverse iatrogenic muscle pain caused by bupivacaine. Here, the authors describe the mechanisms of local anesthetic-induced myotoxicity and a partial protective effect of recombinant human ...
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BACKGROUND AND OBJECTIVES Duchenne/Becker muscular dystrophy affects skeletal muscles and leads to progressive muscle weakness and risk of atypical anesthetic reactions following exposure to succinylcholine or halogenated agents. The aim of this report is to describe the investigation and diagnosis of a patient with Becker muscular dystrophy and review the care required in anesthesia. CASE RE...
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We present a case of a 39-year-old man with Becker muscular dystrophy and severe congestive cardiac failure. Cardiac magnetic resonance imaging revealed subendocardial late gadolinium enhancement, similar to that seen in myocardial infarction. He had no risk factors for atherosclerotic coronary artery disease and coronary angiography was normal. We propose that regional subendocardial myocardia...
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ژورنال
عنوان ژورنال: Korean Journal of Anesthesiology
سال: 2017
ISSN: 2005-6419,2005-7563
DOI: 10.4097/kjae.2017.70.4.477