SciELO - Scientific Electronic Library Online

 
vol.53 issue1Anesthesia in patient with Xeroderma Pigmentosum: case reportArterial air embolism during anesthesia for percutaneous pulmonary node location: case report author indexsubject indexarticles search
Home Pagealphabetic serial listing  

Revista Brasileira de Anestesiologia

Print version ISSN 0034-7094

Abstract

GOMEZ, Renato Santiago; SILVA, Yerkes Pereira  and  PELUSO, Cristiano Pereira. Anesthesia for orthopedic surgery in a child susceptible to malignant hyperthermia: case report. Rev. Bras. Anestesiol. [online]. 2003, vol.53, n.1, pp. 52-57. ISSN 0034-7094.  http://dx.doi.org/10.1590/S0034-70942003000100007.

BACKGROUND AND OBJECTIVES: Malignant hyperthermia is an autosomal dominant myopathy triggered by inhalational anesthetics and neuromuscular blockers, such as halothane and succinylcholine, which causes temperature increases that may be fatal if not promptly treated. This report aimed at describing anesthesia in a child susceptible to malignant hyperthermia submitted to orthopedic surgery. CASE REPORT: Female patient, 3 years of age, with congenital hip dislocation and susceptible to malignant hyperthermia, according to anesthetic history, who was submitted to corrective orthopedic surgery under general anesthesia with propofol and fentanyl, combined with lumbar epidural anesthesia. Temperature was closely monitored during surgery and in the postoperative period. Postoperative recovery was uneventful and patient was discharged five days later. CONCLUSIONS: Combined regional and intravenous anesthesia for the surgical procedure proposed to a patient susceptible to malignant hyperthermia allowed a safe anesthetic approach.

Keywords : ANALGESICS [Opioids]; ANALGESICS [fentanyl]; ANESTHETICS [Local]; ANESTHETICS [bupivacaine]; ANESTHETIC TECHNIQUES [Regional]; ANESTHETIC TECHNIQUES [epidural]; DISEASE [Muscular]; DISEASE [malignant hyperthermia]; HIPNOTICS [propofol]; SURGERY [Orthopedic]; SURGERY [hip surgery].

        · abstract in Portuguese | Spanish     · text in Portuguese     · pdf in Portuguese