title: Anaesthetic management of the child with myotonic dystrophy: epidural anaesthesia as an alternative to general anaesthesia.
abstract: An 11-year-old boy with myotonic dystrophy required anaesthesia for a lower extremity orthopaedic procedure. The management of patients with myotonic dystrophy is discussed including the use of epidural anaesthesia with a continuous chloroprocaine infusion as an alternative to general anaesthesia.
mesh_terms: D000767:Anesthesia, Epidural; D000768:Anesthesia, General; D000778:Anesthetics, Dissociative / Q000008:administration & dosage; D000779:Anesthetics, Local / Q000008:administration & dosage*; D002648:Child; D006801:Humans; D007649:Ketamine / Q000008:administration & dosage; D007866:Leg / Q000601:surgery*; D008297:Male; D009223:Myotonic Dystrophy / Q000601:surgery*; D011229:Preanesthetic Medication; D011343:Procaine / Q000008:administration & dosage / Q000031:analogs & derivatives*; D013709:Tendon Transfer
chemical_list: D000778:Anesthetics, Dissociative; D000779:Anesthetics, Local; D011343:Procaine; C004616:chloroprocaine; D007649:Ketamine