Ketamine anaesthesia for a patient with the Shy-Dräger syndrome.
A 58-year-old man with the Shy-Dräger syndrome underwent laryngo- and tracheoscopies in general anaesthesia for evaluation of the larynx after tracheostomy following bilateral vocal cord paralysis. A profound fall in arterial pressure during anaesthesia induced with thiopentone has been demonstrated in previously reported patients with the Shy-Dräger syndrome. In the present patient, anaesthesia induced with ketamine, maintained with nitrous oxide in oxygen and supplemented with fentanyl, diazepam and suxamethonium did not cause a fall in arterial pressure.
D000768:Anesthesia, General; D001342:Autonomic Nervous System Diseases / Q000503:physiopathology*; D001794:Blood Pressure; D004724:Endoscopy; D006801:Humans; D007649:Ketamine; D007828:Laryngoscopy; D008297:Male; D008875:Middle Aged; D012791:Shy-Drager Syndrome / Q000503:physiopathology*; D014132:Trachea
D007649:Ketamine