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Anaesthesia for an adolescent with mitochondrial encephalomyopathy–lactic acidosis–stroke‐like episodes syndrome
Author(s) -
Bolton P.,
Peutrell J.,
Zuberi S.,
Robinson P.
Publication year - 2003
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.1460-9592.2003.01001.x
Subject(s) - mitochondrial encephalomyopathy , medicine , lactic acidosis , acidosis , anesthesia , laparotomy , melas syndrome , stroke (engine) , general anaesthesia , mitochondrial myopathy , pediatrics , surgery , mitochondrial dna , mechanical engineering , biochemistry , chemistry , engineering , gene
Summary Anaesthesia for patients with mitochondrial disorders occurs with regularity, either for a diagnostic or therapeutic procedure associated with the syndrome or for unassociated surgery. We report the case of a 17‐year‐old boy with mitochondrial encephalomyopathy–lactic acidosis–stroke‐like episodes (MELAS) syndrome who underwent a laparotomy for fundoplication. The potential hazards of anaesthesia for this patient, and the steps taken to avoid them, are discussed.