Gratarola A, Mameli M C, Pelosi G
Department of Medical Sciences of Novara, University of Turin.
Minerva Anestesiol. 1998 Jul-Aug;64(7-8):357-60.
A Total Intravenous Anaesthesia (TIVA) protocol in a case of hereditary motor-sensory neuropathy Charcot-Marie-Tooth disease in three consecutive orthopaedic surgical procedures is described. History, physical examination and sural nerve fascicular biopsy findings are reported. Problems related to the perioperative anaesthesiological management in peripheral neuropathies are discussed. Propofol and fentanyl without muscle relaxants, proved to be a safe technique, fast at reaching the level of surgical anaesthesia required, manageable for maintenance and rapidly reversible.
本文描述了在连续三次骨科手术中，对一名患有遗传性运动感觉神经病夏科-马里-图思病的患者采用全静脉麻醉（TIVA）方案的情况。报告了病史、体格检查和腓肠神经束状活检结果。讨论了周围神经病变围手术期麻醉管理相关问题。结果表明，使用丙泊酚和芬太尼且不使用肌肉松弛剂是一种安全的技术，能快速达到所需的手术麻醉水平，易于维持且能迅速逆转。
