[Anesthetic management with continuous epidural buprenorphine of a patient with dystrophia myotonica].
We report an anesthetic management of a 45 year-old female patient with dystrophia myotonica who was scheduled for abdominal total hysterectomy. The patient was diagnosed as dystrophia myotonica 8 years ago. Epidural catheterization was performed through Th12-L1 interspace and spinal anesthesia was performed through L2-3 interspace using 3.3 ml of 0.5% bupivacaine. Adequate block below Th5 level was obtained. The intraoperative course of anesthesia was uneventful. Moreover, the continuous epidural administration of buprenorphine gave a satisfactory postoperative pain relief and no respiratory depression was observed. Spinal or epidural anesthesia seems to be effective and safe for the patient with dystrophia myotonica.
Department of Anesthesiology, Yamanashi Medical University.
A
A
Kawamura
S
S
Kashimoto
T
T
Yamaguchi
M
M
Kume
T
T
Kumazawa
D000767:Anesthesia, Epidural; D000775:Anesthesia, Spinal; D002047:Buprenorphine / Q000008:administration & dosage; D005260:Female; D006801:Humans; D007044:Hysterectomy; D007889:Leiomyoma / Q000150:complications / Q000601:surgery; D008875:Middle Aged; D009136:Muscular Dystrophies / Q000150:complications; D010149:Postoperative Pain / Q000188:drug therapy; D014594:Uterine Neoplasms / Q000150:complications / Q000601:surgery
D002047:Buprenorphine