Kurahashi Naohito, Komasawa Nobuyasu, Ishio Junichi, Konishi Yuki, Deguchi Shiho, Minami Toshiaki
Masui. 2017 Feb;66(2):168-170.
We report a case of a 34-year-old pregnant woman with fibromyalgia (FM) who underwent cesarean sec- tion under general anesthesia. The patient was taking duloxetine and pregabalin for FM, as well as several anti-depressants due to severe depression. To avoid the exacerbation of FM by spinal anesthesia, we decided to perform cesarean section under general anesthesia. After a crash induction with propofol and rocuronium, tracheal intubation was performed using the Pentax- AWS Airwayscopeo. The procedure was completed uneventfully. Postoperatively, the patient received an ultrasound-guided transverse abdominal plane block and a continuous intravenous fentanyl infusion to relieve pain. No FM exacerbation was noted.
我们报告一例34岁患有纤维肌痛（FM）的孕妇，她在全身麻醉下接受了剖宫产手术。该患者因纤维肌痛正在服用度洛西汀和普瑞巴林，同时由于严重抑郁还服用了几种抗抑郁药。为避免脊髓麻醉加重纤维肌痛，我们决定在全身麻醉下进行剖宫产手术。在使用丙泊酚和罗库溴铵进行快速诱导后，使用宾得AWS可视喉镜进行气管插管。手术顺利完成。术后，患者接受了超声引导下的腹横肌平面阻滞和持续静脉输注芬太尼以缓解疼痛。未发现纤维肌痛加重。
