Imison A R
Department of Anaesthesia, Royal Perth Hospital, Western Australia.
Anaesth Intensive Care. 2001 Feb;29(1):34-7. doi: 10.1177/0310057X0102900106.
The purpose of this audit was to retrospectively examine the anaesthetic technique and perioperative complications among adult patients with confirmed myotonic dystrophy who presented for surgery at Royal Perth Hospital. A total of 18 general anaesthetics, two spinal anaesthetics, one conscious sedation and six eye blocks were performed. No deaths and no myotonic episodes were described despite the use of a variety of techniques, including the administration of succinylcholine to three patients. The only patient to experience postoperative complications was severely unwell preoperatively and underwent upper abdominal surgery. The audit revealed an overall complication rate of 5.5% of general anaesthetics or 3.8% of all anaesthetics in this patient population.
本次审计的目的是回顾性研究确诊为强直性肌营养不良的成年患者在皇家珀斯医院接受手术时的麻醉技术及围手术期并发症。共实施了18例全身麻醉、2例脊髓麻醉、1例清醒镇静和6例眼部阻滞。尽管使用了多种技术，包括对3例患者使用了琥珀酰胆碱，但未出现死亡病例和强直性发作。唯一出现术后并发症的患者术前病情严重，接受了上腹部手术。审计显示，该患者群体中全身麻醉的总体并发症发生率为5.5%，或所有麻醉的3.8%。
