Abstract
Background and Objectives. The authors report a case of myotonic dystrophy in a 34-year-old woman who presented for total abdominal hysterectomy. The goal of anesthetic management is to prevent the known triggers of my otonic crisis, such as hypothermia, shivering, and hyperkalemia; and to a void depolarizing muscle relaxants and anticholinesterase agents. Methods. In this patient, the authors used combined spinal and epidural block for intra operative anesthesia and postoperative analgesia. Results. The advantages of the combined technique offers rapid onset and good muscle relaxation from subarachnoid block, with the ability to supplement analgesia through the epidural catheter both during and after surgery. In addition, the potential complications associated with general anesthesia, including respiratory insufficiency, aspiration pneumonia, cardiac arrhythmia, and heart failure can be avoided. The other measures were directed toward the prevention of shivering, a common problem encountered with general or regional anesthesia. Conclusions. After the postoperation, optimal analgesia was obtained by infusing local anesthetic (0.125% bupivacaine) via the epidural catheter. No obvious side effects occurred. The authors believe combined spinal and epidural block provides a safe alternative, to other techniques, and minimizes the potential hazards of myotonic dystrophy, while offering effective intraoperative anesthesia and postoperative analgesia. Reg Anesth 1994: 19: 69-72.
| Original language | English |
|---|---|
| Pages (from-to) | 69-72 |
| Number of pages | 4 |
| Journal | Regional Anesthesia |
| Volume | 19 |
| Issue number | 1 |
| Publication status | Published - 1994 |
| Externally published | Yes |
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Keywords
- Anesthetic techniques
- Epidural
- Myotonia atrophica
- Regional
- Spinal
ASJC Scopus subject areas
- Anesthesiology and Pain Medicine
Cite this
Combined spinal and epidural anesthesia for abdominal hysterectomy in a patient with myotonic dystrophy case report. / Cherng, Yih Giun; Wang, Yong Ping; Liu, Chien Chiang; Shi, Je Jang; Huang, Su Cheng.
In: Regional Anesthesia, Vol. 19, No. 1, 1994, p. 69-72.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Combined spinal and epidural anesthesia for abdominal hysterectomy in a patient with myotonic dystrophy case report
AU - Cherng, Yih Giun
AU - Wang, Yong Ping
AU - Liu, Chien Chiang
AU - Shi, Je Jang
AU - Huang, Su Cheng
PY - 1994
Y1 - 1994
N2 - Background and Objectives. The authors report a case of myotonic dystrophy in a 34-year-old woman who presented for total abdominal hysterectomy. The goal of anesthetic management is to prevent the known triggers of my otonic crisis, such as hypothermia, shivering, and hyperkalemia; and to a void depolarizing muscle relaxants and anticholinesterase agents. Methods. In this patient, the authors used combined spinal and epidural block for intra operative anesthesia and postoperative analgesia. Results. The advantages of the combined technique offers rapid onset and good muscle relaxation from subarachnoid block, with the ability to supplement analgesia through the epidural catheter both during and after surgery. In addition, the potential complications associated with general anesthesia, including respiratory insufficiency, aspiration pneumonia, cardiac arrhythmia, and heart failure can be avoided. The other measures were directed toward the prevention of shivering, a common problem encountered with general or regional anesthesia. Conclusions. After the postoperation, optimal analgesia was obtained by infusing local anesthetic (0.125% bupivacaine) via the epidural catheter. No obvious side effects occurred. The authors believe combined spinal and epidural block provides a safe alternative, to other techniques, and minimizes the potential hazards of myotonic dystrophy, while offering effective intraoperative anesthesia and postoperative analgesia. Reg Anesth 1994: 19: 69-72.
AB - Background and Objectives. The authors report a case of myotonic dystrophy in a 34-year-old woman who presented for total abdominal hysterectomy. The goal of anesthetic management is to prevent the known triggers of my otonic crisis, such as hypothermia, shivering, and hyperkalemia; and to a void depolarizing muscle relaxants and anticholinesterase agents. Methods. In this patient, the authors used combined spinal and epidural block for intra operative anesthesia and postoperative analgesia. Results. The advantages of the combined technique offers rapid onset and good muscle relaxation from subarachnoid block, with the ability to supplement analgesia through the epidural catheter both during and after surgery. In addition, the potential complications associated with general anesthesia, including respiratory insufficiency, aspiration pneumonia, cardiac arrhythmia, and heart failure can be avoided. The other measures were directed toward the prevention of shivering, a common problem encountered with general or regional anesthesia. Conclusions. After the postoperation, optimal analgesia was obtained by infusing local anesthetic (0.125% bupivacaine) via the epidural catheter. No obvious side effects occurred. The authors believe combined spinal and epidural block provides a safe alternative, to other techniques, and minimizes the potential hazards of myotonic dystrophy, while offering effective intraoperative anesthesia and postoperative analgesia. Reg Anesth 1994: 19: 69-72.
KW - Anesthetic techniques
KW - Epidural
KW - Myotonia atrophica
KW - Regional
KW - Spinal
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UR - http://www.scopus.com/inward/citedby.url?scp=0028125914&partnerID=8YFLogxK
M3 - Article
VL - 19
SP - 69
EP - 72
JO - Regional Anesthesia and Pain Medicine
JF - Regional Anesthesia and Pain Medicine
SN - 1098-7339
IS - 1
ER -