[Propofol anesthesia for a patient with Arnold-Chiari deformity].
We gave anesthesia for the suboccipital decompression in a 25-yr-old female patient with Arnold-Chiari deformity. The induction and maintenance of anesthesia were performed with fentanyl, continuous infusion of propofol 10-3 mg.kg-1.h-1 and inhalation of nitrous oxide and oxygen, and the operation was performed without any complication. Postoperative course of the patient was also uneventful except a short-term pneumonia. Propofol is more advantageous compared with volatile anesthetics for decreasing intracranial pressure. This suggests that propofol is a suitable anesthetic agent for a patient with Arnold-Chiari deformity.
Department of Anesthesia, Kushiro City General Hospital.
Y
Y
Nakayama
H
H
Sonoda
A
A
Namiki
D000328:Adult; D000758:Anesthesia / Q000379:methods*; D018685:Anesthetics, Inhalation; D018686:Anesthetics, Intravenous; D001139:Arnold-Chiari Malformation / Q000601:surgery*; D019299:Decompression, Surgical; D005260:Female; D005283:Fentanyl; D006801:Humans; D009609:Nitrous Oxide; D010100:Oxygen; D015742:Propofol
D018685:Anesthetics, Inhalation; D018686:Anesthetics, Intravenous; D009609:Nitrous Oxide; D010100:Oxygen; D005283:Fentanyl; D015742:Propofol