Regional anaesthesia in a Duchenne muscular dystrophy patient for upper extremity amputation

Duchenne muscular dystrophy (DMD) is the most common of the neuromuscular disorders. DMD is usually a challenge for the anaesthesiologist, with poor cardiac function, a high risk of developing rhabdomyolysis, and the probable life-threatening complications of general anaesthesia. To avoid possible m...

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Bibliographic Details
Published in:Aǧrı 2014, Vol.26 (4), p.191-195
Main Authors: Büget, Mehmet İlke, Eren, İlker, Küçükay, Süleyman
Format: Article
Language:English
Subjects:
Adolescent
Amputation
Anesthetics, Local - administration & dosage
Arm - surgery
Brachial Plexus
Bupivacaine - administration & dosage
Humans
Male
Muscular Dystrophy, Duchenne
Nerve Block
Pain, Postoperative - prevention & control
Rhabdomyosarcoma - surgery
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Summary:Duchenne muscular dystrophy (DMD) is the most common of the neuromuscular disorders. DMD is usually a challenge for the anaesthesiologist, with poor cardiac function, a high risk of developing rhabdomyolysis, and the probable life-threatening complications of general anaesthesia. To avoid possible morbidity associated with general anaesthesia, we applied a supraclavicular blockade. In this report, we present a 17-year-old DMD patient with a massive rhabdomyosarcoma, for whom a left arm amputation was indicated. In the post-operative period, a malignant hyperthermia-like reaction occurred, which resolved in a short time. We suggest a regional blockade as a safer alternative to general anaesthesia for the management of high risk DMD patients during orthopedic procedures.
ISSN:1300-0012
DOI:10.5505/agri.2014.34713