Journal
REVISTA BRASILEIRA DE ANESTESIOLOGIA
Volume 70, Issue 6, Pages 682-685Publisher
ELSEVIER SCIENCE INC
DOI: 10.1016/j.bjan.2020.07.004
Keywords
Anesthesia recovery period; Delayed emergence from anesthesia; Dexmedetomidine; Exchange catheter; Myotonic dystrophy; Theophylline
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Myotonic dystrophy type-1 (Steinert disease) is an autosomal dominant, progressive multisystem disease in which myotonic crisis can be triggered by several factors including pain, emotional stress, hypothermia, shivering, and mechanical or electrical stimulation. In this report, dexmedetomidine-based general anesthesia, in combination with a thoracic epidural for laparoscopic cholecystectomy in a patient with Steinert disease, is presented. An Aintree intubation catheter with the guidance of a fiberoptic bronchoscope was used for intubation to avoid laryngoscopy. Prolonged anesthetic effects of propofol were reversed, and recovery from anesthesia was accelerated using an intravenous infusion of theophylline. (C) 2020 Sociedade Brasileira de Anestesiologia. Published by Elsevier Editora Ltda.
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