Anesthetic management of a patient with narcolepsy by combination of total intravenous and regional anesthesia: a case report
نویسندگان
چکیده
Narcolepsy is a neurological disease characterized by excessive daytime sleepiness, cataplexy, and/or a sudden loss of muscle tone due to malfunction of the orexinergic system, which may cause delayed emergence from general anesthesia. We report a successful anesthetic management of 24-year-old female narcoleptic patient undergoing left anterior cruciate ligament reconstruction. Anesthesia was induced and maintained with total intravenous anesthesia (TIVA) using propofol and remifentanil. Ultrasound-guided left femoral nerve block was also performed with 0.375% ropivacaine 20 ml. Acetaminophen 1000 mg was intravenously administered as part of a multimodal analgesia. After the surgery, the trachea was extubated 9 min after termination of TIVA, and then, the patient correctly responded to verbal commands. The postoperative course was uneventful without any narcoleptic symptoms.
منابع مشابه
Total Intravenous Anesthesia for a Patient with Narcolepsy
Narcolepsy is a disorder of unknown etiology. It is characterized by excessive sleepiness that is typically associated with cataplexy and other Rapid Eye Movement (REM) sleep phenomena, such as sleep paralysis and hypnagogic hallucinations. When administering general anesthesia to patients with narcolepsy, delayed emergence after general anesthesia, post-operative hypersomnia and drug interacti...
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