title: [Anesthesia for emergency surgery in a patient with Shy-Drager syndrome].
abstract: A 53-year-old man with Shy-Drager syndrome underwent emergency surgery for the resection of the larynx under general anesthesia. Anesthesia was induced with fentanyl 0.1 mg and thiopental 100 mg, and endotracheal intubation was facilitated with vecuronium 8 mg. The onset of action of vecuronium was very slow. Anesthesia was maintained with about 1% of sevoflurane, with nitrous oxide 3 l.min-1 in oxygen 3 l.min-1. Norepinephrine was effective for hypotension while dopamine was not. He was extubated on the first postoperative day without any complications. The effects of vecuronium, norepinephrine, and dopamine might be changed in the patient with Shy-Drager syndrome.
authors.affiliation: Department of Anesthesiology, University of Tokyo, Faculty of Medicine, Tokyo 113-8655.
authors.forename: H
authors.initials: H
authors.lastname: Hashimoto
authors.forename: T
authors.initials: T
authors.lastname: Nishiyama
authors.forename: Y
authors.initials: Y
authors.lastname: Nagase
authors.forename: H
authors.initials: H
authors.lastname: Nakajima
authors.forename: C
authors.initials: C
authors.lastname: Yajima
authors.forename: K
authors.initials: K
authors.lastname: Hanaoka
mesh_terms: D000768:Anesthesia, General; D004298:Dopamine / Q000008:administration & dosage; D004630:Emergencies; D006801:Humans; D007825:Laryngectomy; D008297:Male; D008875:Middle Aged; D009638:Norepinephrine / Q000008:administration & dosage; D019990:Perioperative Care; D012791:Shy-Drager Syndrome / Q000601:surgery*
chemical_list: D004298:Dopamine; D009638:Norepinephrine