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Anaesthetic management of a patient with myotonic dystrophy
Author(s) -
White R.J.,
Bass S.
Publication year - 2001
Publication title -
pediatric anesthesia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.704
H-Index - 82
eISSN - 1460-9592
pISSN - 1155-5645
DOI - 10.1046/j.1460-9592.2001.00710.x
Subject(s) - medicine , myotonic dystrophy , anesthesia , propofol , vomiting , intubation , airway management , laryngeal mask airway , tracheal intubation , surgery , general anaesthesia , tracheal tube , airway
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.