[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.
Kawamura
A
A
Department of Anesthesiology, Yamanashi Medical University.
Kashimoto
S
S
Yamaguchi
T
T
Kume
M
M
Kumazawa
T
T
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