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Revista Brasileira de Anestesiologia
On-line version ISSN 1806-907X
TONELLI, Deoclécio et al. Anesthesia in Duchennes Muscular Dystrophy patient: case report. Rev. Bras. Anestesiol. [online]. 2003, vol.53, n.3, pp.392-395. ISSN 1806-907X. http://dx.doi.org/10.1590/S0034-70942003000300011.
BACKGROUND AND OBJECTIVES: Duchennes Muscular Dystrophy is an X-linked recessive disorder, generally diagnosed in childhood, which progressively worsens to degenerate respiratory function. This report aimed at presenting the case of a patient with Duchennes Muscular Dystrophy diagnosed 2 years before, submited to postectomy under general anesthesia with ketamine S. CASE REPORT: Male patient, 9 years old, with Duchennes Muscular Dystrophy diagnosed 2 years before, submitted to general anesthesia with intravenous levo-ketamine (1.5 mg.kg-1), under spontaneous ventilation manually assisted by Mapleson A Baraka system and penile block with 25 mg of 0.5% bupivacaine. Monitoring consisted of non invasive blood pressure, pulse oximetry, cardioscopy and esophageal temperature. There were no incidents during surgery, and after surgery patient had a few vomiting episodes, without other significant complications. Patient remained in hospital for 24 hours and was discharged asymptomatic. CONCLUSIONS: Very careful pre-anesthetic evaluation, adequate monitoring and drugs not predisposing to complications make surgery and postoperative period safe for Duchennes Muscular Dystrophy patients.
Keywords : ANESTHESIA [Pediatric]; DISEASES [Duchenne´s muscular dystrophy].