From the Department of Anesthesiology, Perioperative, and Pain Medicine.
Division of Gastroenterology and Hepatology, Department of Medicine, Stanford University School of Medicine, Stanford, California.
A A Pract. 2021 Jan 6;15(1):e01372. doi: 10.1213/XAA.0000000000001372.
Optimal anesthetic management has not been studied for peroral endoscopic myotomy (POEM). This case report documents 2 patients with esophageal motility disorders who underwent POEM with opioid-free, magnesium-based anesthesia. Both patients had no postoperative esophageal complications nor need for opioid therapy. We further describe the therapeutic potential of magnesium for management of esophageal pain.
经口内镜下肌切开术（POEM）的最佳麻醉管理尚未得到研究。本病例报告记录了 2 例患有食管动力障碍的患者，他们接受了无阿片类药物、基于镁的麻醉下的 POEM。这 2 例患者均无术后食管并发症，也无需阿片类药物治疗。我们进一步描述了镁在管理食管疼痛方面的治疗潜力。
