Total Intravenous Anesthesia using Bispectral Index for Transvaginal Uterine Myomectomy in a Patient with Myotonic Dystrophy: A case report.
10.4097/kjae.2007.53.2.238
- Author:
Hae Jin LEE
1
;
Jin Young CHON
;
Su Jin HWANG
Author Information
1. Department of Anesthesiology and Pain Medicine, College of Medicine, The Catholic University of Korea, Seoul, Korea. anestha@catholic.ac.kr
- Publication Type:Case Report
- Keywords:
bispectral index;
myotonic dystrophy;
propofol;
ProSeal laryngeal mask airway;
remifentanil;
uterine myomectomy
- MeSH:
Anesthesia, Intravenous*;
Humans;
Laryngeal Masks;
Myotonic Dystrophy*;
Propofol;
Respiration, Artificial;
Uterine Myomectomy*
- From:Korean Journal of Anesthesiology
2007;53(2):238-241
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
We report a patient with myotonic dystrophy, who underwent a transvaginal uterine myomectomy. Anaesthesia was induced and maintained with remifentanil and the target-controlled infusion of propofol titrated according to the bispectral index (BIS). A ProSeal laryngeal mask airway (PLMA) was inserted, and mechanical ventilation was performed without a muscle relaxant. The time from the end of anaesthesia to the patient-awakening was approximately 8 minutes. The rapid offset of the action of remifentanil and low-dose propofol facilitated early recovery without respiratory complications. The total intravenous anaesthesia using the BIS and the PLMA without a muscle relaxant is a useful anaesthetic technique in myotonic dystrophy patients.
