[Spinal anesthesia for patients with progressive muscular dystrophy].
Spinal anesthesia was applied on 8 occasions to 7 patients with progressive muscular dystrophy (PMD) undergoing orthopedic lower limb surgery. No postoperative complication occurred in all patients. During the operations, however, two patients were subjected to high spinal anesthesia, which caused ventilatory suppression in one patient and bronchial asthma attack in another. Both respiratory complications were easily managed by ventilatory assistance with endotracheal intubation or by administration of bronchodilator, respectively. High spinal anesthesia should be avoided in applying spinal anesthesia to patients with PMD.
O'Higashi
T
T
Department of Anesthesia, Shiga Medical Center for Children, Moriyama.
Shirakami
G
G
Sasai
S
S
Shinomura
T
T
Kato
S
S
Tomoda
K
K
D000293:Adolescent; D000775:Anesthesia, Spinal / Q000009:adverse effects; D002648:Child; D006801:Humans; D007431:Intraoperative Complications / Q000209:etiology / Q000517:prevention & control; D007866:Leg / Q000601:surgery*; D008297:Male; D009136:Muscular Dystrophies / Q000601:surgery*; D009985:Orthopedics; D012120:Respiration Disorders / Q000209:etiology / Q000517:prevention & control