Diagnosis of all present abnormalities is essential for the correct anesthetic management. Observation was necessary to adequate pre- and post-thoracotomy/thoracoplasty ventilation and to maintain patient hemodynamically stable. Pressure-cycled mechanical ventilation is the most adequate type of ventilation to overcome the mechanical barrier. In the intraoperative setting, the ideal is to maintain the inspiratory pressure peak as low as possible to minimize the risk of barotrauma, venous return impairment and reduced cardiac output.

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Our results have shown statistically significant differences between groups with and without priming, indicating that pipecuronium also has its onset decreased, similarly to other known neuromuscular blockers.

Very careful pre-anesthetic evaluation, adequate monitoring and drugs not predisposing to complications make surgery and postoperative period safe for Duchennes Muscular Dystrophy patients.

No abstract