患有卡恩斯-塞尔综合征患者的腹腔镜胆囊切除术全身麻醉
General anaesthesia for laparoscopic cholecystectomy in a patient with the kearns-sayre syndrome.
作者信息
Calzavacca Paolo, Schmidt Walter, Guzzi Manuela
机构信息
Department of Anaesthesia and Intensive Care, AO Melegnano, PO Uboldo, 20063 Cernsuco sul Naviglio, Italy.
出版信息
Case Rep Anesthesiol. 2011;2011:806086. doi: 10.1155/2011/806086. Epub 2012 Jan 15.
Abstract
We report a case of a 40-year-old man affected by the Kearns-Sayre syndrome who underwent an elective laparoscopic cholecystectomy under general anaesthesia. We describe the management of general anaesthesia in this rare myopathy, with emphasis on the use of rocuronium as muscle blocking agent. Induction was achieved with propofol and fentanyl, and general anaesthesia was maintained with fentanyl and sevoflurane/N(2)O/O(2) mixture. The anaesthetic plan proved to be safe and effective, and extubation was achieved in the operating theatre. The postoperative recovery of the patient was satisfactory and uneventful.
摘要
我们报告一例40岁患有卡恩斯-塞尔综合征的男性患者，该患者在全身麻醉下接受了择期腹腔镜胆囊切除术。我们描述了在这种罕见的肌病中全身麻醉的管理，重点是使用罗库溴铵作为肌肉松弛剂。采用丙泊酚和芬太尼诱导麻醉，并用芬太尼和七氟烷/氧化亚氮/氧气混合气体维持全身麻醉。麻醉方案被证明是安全有效的，患者在手术室拔管。患者术后恢复情况令人满意且平稳。
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