지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2018.1
- 수록면
- 30 - 33 (4page)
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초록· 키워드
오류제보하기
Duchenne muscular dystrophy (DMD) is a relatively rare muscle disease with severe symptoms. Owing to the commonly limited mouth opening, cervical spine immobility, and deformation, DMD patients often present with a difficult airway. Patients with DMD are sensitive to sedation, anesthesia, and neuromuscular blockade. This risk increases as the disease progresses with age. The anesthetic management of these patients can cause various issues, presenting a challenge to anesthesiologists. We administered anesthesia for an orchiectomy in a patient with testicular cancer using total intravenous anesthesia with propofol and remifentanil without muscle relaxants. Although the patient was Mallampati grade IV due to neck stiffness, tracheal intubation was successfully performed with a portable videolaryngoscope. The intraoperative course was uneventful and recovery was rapid without postoperative complications. In conclusion, anesthesia without a muscle relaxant was successful and the patient recovered rapidly, even with a difficult tracheal intubation.
목차
등록된 정보가 없습니다.
참고문헌 (14)
참고문헌 신청
Muenster T / 2012 / Anaesthetic management in patients with Duchenne muscular dystrophy undergoing orthopaedic surgery: a review of 232 cases / Eur J Anaesthesiol 29:489~494
Ririe DG / 1998 / The response of patients with Duchenne's muscular dystrophy to neuromuscular blockade with vecuronium / Anesthesiology 88:351~354
Wick S / 2005 / Onset and duration of rocuronium-induced neuromuscular blockade in patients with Duchenne muscular dystrophy / Anesthesiology 102:915~919
Ramachandran SK / 2012 / Predictors and clinical outcomes from failed Laryngeal Mask Airway UniqueTM: a study of 15,795 patients / Anesthesiology 116:1217~1226
Boland BJ / 1996 / Skeletal, cardiac, and smooth muscle failure in Duchenne muscular dystrophy / Pediatr Neurol 14:7~12
Ririe DG / 1998 / The response of patients with Duchenne's muscular dystrophy to neuromuscular blockade with vecuronium / Anesthesiology 88:351~354
Wick S / 2005 / Onset and duration of rocuronium-induced neuromuscular blockade in patients with Duchenne muscular dystrophy / Anesthesiology 102:915~919
Ramachandran SK / 2012 / Predictors and clinical outcomes from failed Laryngeal Mask Airway UniqueTM: a study of 15,795 patients / Anesthesiology 116:1217~1226
Boland BJ / 1996 / Skeletal, cardiac, and smooth muscle failure in Duchenne muscular dystrophy / Pediatr Neurol 14:7~12
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