Roth Stefen P, Gemma Thomas, Dovich Tracy, Candella Anthony
Transitional Residency, Clarion Hospital, Clarion, USA.
Anesthesia, The Surgical Hospital at Southwoods, Youngstown, USA.
Cureus. 2022 Jul 28;14(7):e27417. doi: 10.7759/cureus.27417. eCollection 2022 Jul.
Distal acquired demyelinating symmetric (DADS) neuropathy is a form of chronic inflammatory demyelinating polyradiculopathy (CIDP) which can present many risks to patients undergoing anesthesia. There are currently no specific guidelines for the management of patients with any form of CIDP. This case report describes a 65-year-old male with DADS neuropathy who underwent elective total hip arthroplasty. General, total IV anesthesia was used in combination with other short-acting drugs and the patient endured a successful procedure with an uneventful post-operative course. This case may provide future insight into the anesthetic management of patients with similar comorbidities.
远端获得性脱髓鞘性对称性（DADS）神经病是慢性炎症性脱髓鞘性多发性神经根病（CIDP）的一种形式，对接受麻醉的患者存在诸多风险。目前对于任何形式的CIDP患者管理尚无具体指南。本病例报告描述了一名患有DADS神经病的65岁男性接受择期全髋关节置换术。采用全身静脉麻醉并联合其他短效药物，患者手术成功，术后恢复顺利。本病例可能为未来管理具有类似合并症的患者的麻醉提供参考。
