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Procedure: Anesthesia
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Total 115 results found since Jan 2013.
Anesthesia Challenges in the Management of Freeman-Sheldon Syndrome: Report of Two Cases and Literature Review.
This report of the anesthetic management of 2 children with Freeman-Sheldon syndrome emphasizes the anesthetic considerations for the successful management of patients with this syndrome.
PMID: 32008616 [PubMed - in process]
Source: AANA Journal - December 31, 2019 Category: Anesthesiology Authors: Kamal G, Shah SB, Gupta A Tags: AANA J Source Type: research
Don ’t stress: a case report of regional anesthesia as the primary anesthetic for gynecologic surgery in a patient with mitochondrial myopathy and possible malignant hyperthermia susceptibility
We aim to describe the evaluation and management of a patient with the uncommon combination of both mitochondrial myopathy and possible malignant hyperthermia susceptibility as an important source of informati...
Source: BMC Anesthesiology - December 14, 2019 Category: Anesthesiology Authors: Marci B. Pepper, Catherine Njathi-Ori and Michelle Ochs Kinney Tags: Case report Source Type: research
Significance of Asymptomatic Hyper Creatine-Kinase Emia
Conclusions:
Recurrent AHCE should be taken seriously and managed with conventional work-up. If noninformative, genetic work-up should follow irrespective of the family history.
Source: Journal of Clinical Neuromuscular Disease - November 20, 2019 Category: Neurology Tags: Review Article Source Type: research
Risk-Stratifying Patients at an Increased Risk of Malignant Hyperthermia: Improving Safety by Expanding Beyond Classic Tenets
Malignant hyperthermia (MH) is classically described as an autosomal dominant myopathy involving type 1 ryanodine receptor (RYR1), which predisposes affected individuals to potentially life-threatening sequela when exposed to volatile anesthetics or depolarizing skeletal muscle relaxants, such as succinylcholine. In cases where malignant hyperthermia or anesthetic induced rhabdomyolysis (AIR) is triggered, significant morbidity and often mortality can result. In an ambulatory anesthetic setting, family history of malignant hyperthermia and history of anesthetic-related events is typically utilized to screen out susceptible individuals.
Source: Journal of Oral and Maxillofacial Surgery - August 30, 2019 Category: ENT & OMF Authors: V. Palermo Source Type: research
Acute Respiratory Failure Is the Initial Manifestation in the Adult-Onset A3243G tRNALeu mtDNA Mutation: A Case Report and the Literature Review
Isolated mitochondrial myopathy refers to the condition that mitochondrial disorders primarily affect skeletal muscle system. Here we reported a case who presented with acute respiratory failure as the initial and predominant clinical manifestation after using anesthetic drugs. The diagnosis of mitochondrial myopathy was made by histochemical findings of ragged red fibers with modified Gomori trichrome Stain in skeletal muscle biopsy and genetic detection of an A3243G point mutation in the tRNALeu (UUR) gene of mitochondrial DNA (mtDNA) in peripheral blood specimen. He revealed a benign clinical outcome by ventilator assis...
Source: Frontiers in Neurology - July 17, 2019 Category: Neurology Source Type: research
Hypothyroidism as a Predictor of Surgical Outcomes in the Elderly
Conclusions
It is recommended to post-pone elective surgery in elderly patients with hypothyroidism until an euthyroid state is achieved. If patients need urgent or emergent surgery, it is recommended to proceed with surgery only if they have mild or moderate hypothyroidism. Replacement therapy should be started preoperatively and there should be growing attention to the possible occurrence of minor post-operative complications in hypothyroid patients. As suggested by the American Thyroid Association (ATA), the treatment in elderly patients should be initiated at low doses with slow titration based on serum TSH evaluation...
Source: Frontiers in Endocrinology - April 23, 2019 Category: Endocrinology Source Type: research
Anesthetic Implications of a Patient With Kniest Dysplasia and Mitochondrial Disease: A Case Report
We present the case of a 6-year-old boy with both Kniest dysplasia and underlying mitochondrial disease for examination under anesthesia before cataract surgery. Successful anesthetic management of a patient with Kniest dysplasia and a mitochondrial myopathy is discussed.
Source: A&A Case Reports - April 15, 2019 Category: Anesthesiology Tags: Case Reports Source Type: research
Profile of malignant hyperthermia susceptibility reports confirmed with muscular contracture test in Brazil.
CONCLUSION: The crises of malignant hyperthermia resembled those described in other countries, but with frequency lower than that estimated in the country.
PMID: 30935497 [PubMed - in process]
Source: Revista Brasileira de Anestesiologia - April 3, 2019 Category: Anesthesiology Tags: Rev Bras Anestesiol Source Type: research
Clinical guide for the diagnosis and follow-up of myotonic dystrophy type 1, MD1 or Steinert's disease.
CONCLUSION: MD1 is a multisystemic disease that requires specialised multidisciplinary follow-up.
PMID: 30685181 [PubMed - as supplied by publisher]
Source: Medicina Clinica - January 28, 2019 Category: General Medicine Tags: Med Clin (Barc) Source Type: research
Profile of malignant hyperthermia susceptibility reports confirmed with muscular contracture test in Brazil
ConclusionThe crises of malignant hyperthermia resembled those described in other countries, but with frequency lower than that estimated in the country.ResumoJustificativa e objetivoHipertermia maligna é sÃndrome farmacogenética hipermetabólica, autossômica dominante, com mortalidade 10%-20%, desencadeada por uso de anestésico inalatório halogenado ou relaxante muscular succinilcolina. O padrão-ouro para pesquisa de suscetibilidade à hipertermia maligna é o teste de contratura muscular in vitro em resposta ao halotano e à cafeÃna. A determinação da suscetibilidade nas famÃlias suspeitas permite planejar ane...
Source: Brazilian Journal of Anesthesiology - January 15, 2019 Category: Anesthesiology Source Type: research
Using sevoflurane in a pediatric patient with nemaline rod myopathy
Pediatric Anesthesia,Volume 28, Issue 8, Page 749-750, August 2018.
Source: Pediatric Anesthesia - August 25, 2018 Category: Anesthesiology Authors: Mariana Oliveira
,
Ana L. Fernandes
,
Susana Vargas Source Type: research
Atypical reaction to anesthesia in Duchenne/Becker muscular dystrophy
ConclusionOn preanesthetic assessment, the history of delayed motor development, as well as clinical and/or laboratory signs of myopathy, should encourage neurological evaluation, aiming at diagnosing subclinical myopathies and planning the necessary care to prevent anesthetic complications. Duchenne/Becker muscular dystrophy, although it does not increase susceptibility to MH, may lead to atypical fatal reactions in anesthesia.ResumoJustificativa/objetivosDistrofia muscular de Duchenne/Becker afeta a musculatura esquelética e leva a fraqueza muscular progressiva e risco de reações atÃpicas anestésicas após exposiçÃ...
Source: Brazilian Journal of Anesthesiology - July 10, 2018 Category: Anesthesiology Source Type: research
Delayed recovery of limb muscle power after general anesthesia with cisatracurium in a dermatomyositis patient
We report a case of delayed recovery after anesthesia with cisatracurium in a dermatomyositis patient, particularly in terms of proximal limb muscle power. A written informed consent to publish was obtained from the patient.
Source: Journal of Clinical Anesthesia - July 2, 2018 Category: Anesthesiology Authors: Ann Hee You, Hee-Yong Kang, Sung-Wook Park, Youngsoon Kim Tags: Correspondence Source Type: research
Successful Management of a Patient With X-Linked Myotubular Myopathy for Scoliosis Surgery and Previous Cardiac Arrest After Prone Positioning: A Case Report
A 15-year-old boy with X-linked myotubular myopathy associated with severe hypotonia and pectus excavatum presented for posterior spinal fusion of T2-sacrum because of rest pain and severe progressive neuromuscular scoliosis. Previously, he experienced 2 separate instances of cardiac arrest after prone positioning under general anesthesia. A preoperative computed topography angiogram in the supine and prone positions revealed inferior vena cava and right ventricular outflow tract obstruction on prone positioning. Successful positioning and posterior spinal fusion occurred by staging the procedure, correction of volume stat...
Source: A&A Case Reports - June 15, 2018 Category: Anesthesiology Tags: Case Reports Source Type: research
