Revista Brasileira de Anestesiologia
On-line version ISSN 1806-907X
ABREU, Múcio Paranhos de; FREIRE, Carla Cristina Silva and MIURA, Rogério Shiuguetoshi. Anesthesia in glucose 6-phosphate dehydrogenase-deficient patient: case report. Rev. Bras. Anestesiol. [online]. 2002, vol.52, n.6, pp. 707-711. ISSN 1806-907X. http://dx.doi.org/10.1590/S0034-70942002000600007.
BACKGROUND AND OBJECTIVES: Glucose 6-phosphate dehydrogenase (G6PD) deficiency is a relatively common enzymopathy, but there are few publications relating such condition to anesthesia. This report aimed at presenting a case of a G6PD-deficient patient, submitted to Achilles tendon tenotomy under intravenous anesthesia associated to spinal block. CASE REPORT: Male patient, 9 years old, 48 kg, with G6PD deficiency and peripheral polineuropathy, submitted to Achilles tendon tenotomy under general intravenous anesthesia with midazolam, propofol and fentanyl, associated to spinal block with 0.5% hyperbaric bupivacaine. At surgery completion patient awakened relaxed, without pain or other complaints, had a good evolution and was discharged without intercurrences. CONCLUSIONS: According to the evolution of this case, spinal anesthesia with bupivacaine associated to total intravenous anesthesia with propofol has shown to be a safe technique for G6PD-deficient patients.
Keywords : ANESTHESIA; DISEASE [Metabolic]; DISEASE [glucose 6-phosphate dehydrogenase deficiency].