General anesthesia for adults with mitochondrial myopathy

A & a Case Reports
Sau Yee Chow, Kwee Lian Woon

Abstract

We report the case of a 59-year-old woman with mitochondrial myopathy who underwent elective laparoscopic cholecystectomy and hemorrhoidectomy, and we review the literature discussing general anesthesia for adults with mitochondrial myopathy. Our management technique avoids neuromuscular-blocking drugs and uses a modified awake intubation method not previously described in such patients. We hope to improve patient safety by discussing evidence-based anesthetic concerns and complications specific to these uncommon patients and aid practitioners in devising a suitable anesthetic plan.

References

Jan 1, 1996·European Neurology·U A WalkerE Byrne
Oct 30, 1998·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·J FinstererP Sporn
Oct 2, 2001·American Journal of Medical Genetics·P F Chinnery, D M Turnbull
Dec 14, 2004·Journal of Clinical Anesthesia·Koji HaraAkio Shigematsu
Nov 30, 2006·Neurology·E MoravaJ A M Smeitink
May 29, 2010·Korean journal of anesthesiology·Jin Suk ParkYoung-Cheol Woo
Jun 10, 2011·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·Carmelina GurrieriToby N Weingarten
Jan 28, 2012·Revista española de anestesiología y reanimación·C Ibáñez, I Fernández-González
Sep 6, 2012·Korean journal of anesthesiology·Younghoon JeonByungdoo Son

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