Laparoscopic cholecystectomy under continuous spinal anesthesia in a patient with Steinert's disease
ABSTRACT Steinert's disease is an intrinsic disorder of the muscle with multisystem manifestations. Myotonia may affect any muscle group, is elicited by several factors and drugs used in general anesthesia like hypnotics, sedatives and opioids. Although some authors recommend the use of regional anesthesia or combined anesthesia with low doses of opioids, the safest anesthetic technique still has to be established. We performed a continuous spinal anesthesia in a patient with Steinert's disease undergoing laparoscopic cholecystectomy using 10 mg of bupivacaine 0.5% and provided ventilatory support in the perioperative period. Continuous spinal anesthesia was safely used in Steinert's disease patients but is not described for laparoscopic cholecystectomy. We reported a continuous spinal anesthesia as an appropriate technique for laparoscopic cholecystectomy and particularly valuable in Steinert's disease patients.
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Sociedade Brasileira de Anestesiologia
2016
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oai:scielo:S0034-709420160002001972016-03-29Laparoscopic cholecystectomy under continuous spinal anesthesia in a patient with Steinert's diseaseCorreia,MarianaSantos,Angela dosLages,NeusaCorreia,Carlos Continuous spinal anesthesia Steinert's disease Laparoscopic cholecystectomy ABSTRACT Steinert's disease is an intrinsic disorder of the muscle with multisystem manifestations. Myotonia may affect any muscle group, is elicited by several factors and drugs used in general anesthesia like hypnotics, sedatives and opioids. Although some authors recommend the use of regional anesthesia or combined anesthesia with low doses of opioids, the safest anesthetic technique still has to be established. We performed a continuous spinal anesthesia in a patient with Steinert's disease undergoing laparoscopic cholecystectomy using 10 mg of bupivacaine 0.5% and provided ventilatory support in the perioperative period. Continuous spinal anesthesia was safely used in Steinert's disease patients but is not described for laparoscopic cholecystectomy. We reported a continuous spinal anesthesia as an appropriate technique for laparoscopic cholecystectomy and particularly valuable in Steinert's disease patients.info:eu-repo/semantics/openAccessSociedade Brasileira de AnestesiologiaRevista Brasileira de Anestesiologia v.66 n.2 20162016-04-01info:eu-repo/semantics/reporttext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0034-70942016000200197en10.1016/j.bjane.2014.01.005 |
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Correia,Mariana Santos,Angela dos Lages,Neusa Correia,Carlos |
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Correia,Mariana Santos,Angela dos Lages,Neusa Correia,Carlos Laparoscopic cholecystectomy under continuous spinal anesthesia in a patient with Steinert's disease |
| author_facet |
Correia,Mariana Santos,Angela dos Lages,Neusa Correia,Carlos |
| author_sort |
Correia,Mariana |
| title |
Laparoscopic cholecystectomy under continuous spinal anesthesia in a patient with Steinert's disease |
| title_short |
Laparoscopic cholecystectomy under continuous spinal anesthesia in a patient with Steinert's disease |
| title_full |
Laparoscopic cholecystectomy under continuous spinal anesthesia in a patient with Steinert's disease |
| title_fullStr |
Laparoscopic cholecystectomy under continuous spinal anesthesia in a patient with Steinert's disease |
| title_full_unstemmed |
Laparoscopic cholecystectomy under continuous spinal anesthesia in a patient with Steinert's disease |
| title_sort |
laparoscopic cholecystectomy under continuous spinal anesthesia in a patient with steinert's disease |
| description |
ABSTRACT Steinert's disease is an intrinsic disorder of the muscle with multisystem manifestations. Myotonia may affect any muscle group, is elicited by several factors and drugs used in general anesthesia like hypnotics, sedatives and opioids. Although some authors recommend the use of regional anesthesia or combined anesthesia with low doses of opioids, the safest anesthetic technique still has to be established. We performed a continuous spinal anesthesia in a patient with Steinert's disease undergoing laparoscopic cholecystectomy using 10 mg of bupivacaine 0.5% and provided ventilatory support in the perioperative period. Continuous spinal anesthesia was safely used in Steinert's disease patients but is not described for laparoscopic cholecystectomy. We reported a continuous spinal anesthesia as an appropriate technique for laparoscopic cholecystectomy and particularly valuable in Steinert's disease patients. |
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Sociedade Brasileira de Anestesiologia |
| publishDate |
2016 |
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http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0034-70942016000200197 |
| work_keys_str_mv |
AT correiamariana laparoscopiccholecystectomyundercontinuousspinalanesthesiainapatientwithsteinertsdisease AT santosangelados laparoscopiccholecystectomyundercontinuousspinalanesthesiainapatientwithsteinertsdisease AT lagesneusa laparoscopiccholecystectomyundercontinuousspinalanesthesiainapatientwithsteinertsdisease AT correiacarlos laparoscopiccholecystectomyundercontinuousspinalanesthesiainapatientwithsteinertsdisease |
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