Myotonic Dystrophy and Anesthetic Challenges: A Case Report and Review

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ID: 7903
2019
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Abstract
Providing anesthesia to patients with myotonic dystrophy (DM) can be very challenging due to the multisystemic effects of the disease and extreme sensitivity of these patients to sedatives, opioids, and anesthetic agents. Other factors such as hypothermia, shivering, or mechanical or electric stimulation during surgery can precipitate myotonia which is difficult to abolish and can lead to further complications. Generally, local or regional anesthesia is preferred to avoid the complications associated with general anesthesia in this group. However there are several case reports of successful use of general anesthesia (with or without volatile agents and with or without opioids). These general anesthetic cases led to postoperative admission to the regular floor or ICU. We present a case of a woman with a history of DM who underwent robotic assisted laparoscopic hysterectomy under general anesthesia and was discharged home on the same day.
Reference Key
chanchal2019myotoniccase Use this key to autocite in the manuscript while using SciMatic Manuscript Manager or Thesis Manager
Authors Mangla, Chanchal;Bais, Kimmy;Yarmush, Joel;Mangla, Chanchal;Bais, Kimmy;Yarmush, Joel;
Journal case reports in anesthesiology
Year 2019
DOI
10.1155/2019/4282305
URL
https://www.hindawi.com/journals/cria/2019/4282305/abs/
Keywords Keywords not found

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