Anaesthetic challenges in a patient with polymyositis undergoing emergency laparoscopic appendicectomy

Introduction: Emergency laparoscopic surgery in a patient with polymyositis is a challenging situation for an anaesthesiologist owing to the multisystem manifestations of the disease. There are several reports in literature which have emphasized the use of regional anaesthesia in these patients to prevent delayed recovery from anaesthesia, aspiration, arrhythmias, and cardiac failure. Case Report: We present anaesthetic management of a known case of polymyositis, confirmed by muscle biopsy having proximal muscle weakness and not on any medication, scheduled for emergency laparoscopic appendicectomy. Conclusion: Emergency laparoscopic surgeries in such patients are rendered safe under general anaesthesia by ensuring effective muscle relaxation and ventilation with the depth of anaesthesia and neuromuscular monitoring.