Combined spinal-epidural anesthesia for abdominoplasty and liposuction in Limb-Girdle Muscular Dystrophy: case report.
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)
| 유형 | 영어 표현 | 한국어 / 풀이 | UMLS CUI | 출처 | 등장 |
|---|---|---|---|---|---|
| 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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