Combined spinal-epidural anesthesia for abdominoplasty and liposuction in Limb-Girdle Muscular Dystrophy: case report.

Brazilian journal of anesthesiology (Elsevier) 2021 Vol.71(3) p. 299-301

Leal PDC, Lima WL, Oliveira EJSG, Oliveira CMB, Gomes LMRS, Servin ETN, Moura ECR

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Abstract

We report the anesthetic management with combined spinal-epidural in a patient with limb-girdle muscular dystrophy type 2A, submitted to abdominoplasty and liposuction. The patient had onset of symptoms at 8 years old, diagnosed by muscular biopsy, presenting muscle weakness in the scapular and pelvic girdles, with reduced mobility. We performed monitorization with noninvasive blood pressure, oximeter, thermometer, and electrocardiogram. In the postoperative period, she showed no clinical signs of rhabdomyolysis, myotonia, or adverse effects, maintaining hemodynamic stability. The anesthesia technique allowed spontaneous ventilation, monitoring of clinical parameters close to physiological conditions and used smaller doses of medication, reducing related risks.

추출된 의학 개체 (NER)

유형영어 표현한국어 / 풀이UMLS CUI출처등장
시술 liposuction 지방흡입 dict 2
시술 abdominoplasty 복부성형술 dict 2
해부 muscle scispacy 1
해부 scapular scispacy 1
해부 blood scispacy 1
합병증 muscular biopsy scispacy 1
합병증 pelvic girdles scispacy 1
질환 Limb-Girdle Muscular Dystrophy C0686353
Muscular Dystrophies, Limb-Girdle
scispacy 1
질환 muscle weakness C0030552
Paresis
scispacy 1
질환 rhabdomyolysis C0035410
Rhabdomyolysis
scispacy 1
질환 myotonia C0700153
Myotonus (finding)
scispacy 1
질환 limb-girdle muscular dystrophy type 2A scispacy 1
기타 spinal-epidural scispacy 1
기타 patient scispacy 1

MeSH Terms

Abdominoplasty; Anesthesia, Epidural; Anesthesia, Spinal; Child; Female; Humans; Lipectomy; Muscular Dystrophies, Limb-Girdle

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