Myotonic dystrophy and target-controlled propofol infusions

Russell, S.H.

doi:10.1093/bja/74.1.109

Cited by 2 publications

(3 citation statements)

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“…Our patient was awake, alert, cooperative and able to cough on return to the PICU, but within 12 h, required intubation and ventilation. We would recommend a period of at least 24 h postoperative observation in a care area able to provide ventilatory support at short notice, in accordance with an earlier recommendation (8).…”

Section: Discussionmentioning

confidence: 69%

Anaesthetic management of a patient with myotonic dystrophy

White

Bass

2001

Pediatric Anesthesia

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A 13-year-old boy with myotonic dystrophy underwent insertion of a percutaneous gastrostomy feeding tube under general anaesthesia. We used a laryngeal mask airway and a spontaneously breathing technique with propofol total intravenous anaesthesia. Postoperative vomiting and aspiration, 12 h after the procedure, subsequently required intubation and ventilation. We discuss the anaesthetic management of this case and review the features of the disease to be considered when contemplating anaesthesia in such patients.

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Section: Discussionmentioning

confidence: 69%

Anaesthetic management of a patient with myotonic dystrophy

White

Bass

2001

Pediatric Anesthesia

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“…Once a patient with myotonic dystrophy is ventilated, it increases the likelihood of the need for postoperative ventilatory support. In situations where the use of muscle relaxants cannot be avoided, facilities for postoperative ventilation should be confirmed before commencing the anaesthetic (45).…”

Section: Maintenancementioning

confidence: 99%

“…Whichever choice is made, a period of at least 24 h postoperative care should be planned in an area of high dependency care, where facilities are available for rapid intubation and ventilation (45). Even after spontaneous breathing techniques have been used, residual anaesthetic agents can be sufficient to cause postoperative respiratory insufficiency.…”

Section: Postoperative Managementmentioning

confidence: 99%

Myotonic dystrophy and paediatric anaesthesia

White

Bass

2003

Pediatric Anesthesia

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Myotonic dystrophy is a neuromuscular condition inherited in an autosomal dominant fashion, and is most commonly diagnosed in the neonatal period. With improving levels of care, these patients are now presenting more commonly for anaesthesia. We review the clinical features of the condition, and then discuss the steps in the anaesthetic process, outlining the anaesthetic implications of myotonic dystrophy at each stage.

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Myotonic dystrophy and target-controlled propofol infusions

Cited by 2 publications

References 0 publications

Anaesthetic management of a patient with myotonic dystrophy

Anaesthetic management of a patient with myotonic dystrophy

Myotonic dystrophy and paediatric anaesthesia

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