Anaesthetic management of a patient with myotonic dystrophy

A 13‐year‐old boy with myotonic dystrophy underwent insertion of a percutaneous gastrostomy feeding tube under general anaesthesia. We used a laryngeal mask airway and a spontaneously breathing technique with propofol total intravenous anaesthesia. Postoperative vomiting and aspiration, 12 h after t...

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Bibliographic Details
Published in:Pediatric anesthesia 2001-07, Vol.11 (4), p.494-497
Main Authors: White, R.J., Bass, S.
Format: Article
Language:English
Subjects:
Adolescent
anaesthetic technique: total intravenous anaesthesia
Anesthesia
Anesthesia depending on patient's condition
Anesthesia, General - methods
Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy
Anesthetics, Intravenous
Biological and medical sciences
complications: postoperative
Enteral Nutrition
Gastrostomy
Humans
Laryngeal Masks
Male
Medical sciences
Myotonic Dystrophy
percutaneous gastrostomy
Postoperative Complications
Postoperative Nausea and Vomiting - therapy
Propofol
Respiration, Artificial
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Summary:A 13‐year‐old boy with myotonic dystrophy underwent insertion of a percutaneous gastrostomy feeding tube under general anaesthesia. We used a laryngeal mask airway and a spontaneously breathing technique with propofol total intravenous anaesthesia. Postoperative vomiting and aspiration, 12 h after the procedure, subsequently required intubation and ventilation. We discuss the anaesthetic management of this case and review the features of the disease to be considered when contemplating anaesthesia in such patients.
ISSN:1155-5645
1460-9592
DOI:10.1046/j.1460-9592.2001.00710.x