[Propofol anesthesia for a patient with progressive muscular dystrophy].
We gave propofol anesthesia to a patient with limb-girdle type of progressive muscular dystrophy. A 42 year-old male was to have skin graft for third degree burn. His respiratory function test showed %VC of 73.6% and %FEV1.0 of 107.6%. Arterial blood gas data were within normal ranges. He was anesthetized with propofol, fentanyl, vecuronium and nitrous oxide. During position change, Wenckebach type of second degree AV block occurred. AV block returned to sinus rhythm easily by injection of ephedrine hydrochloride and atropine sulfate, and reduction of propofol infusion rate. There were no perioperative respiratory complications and no clinical manifestations of malignant hyperthermia. Propofol anesthesia is suitable for limb-girdle type of progressive muscular dystrophy, because of very little possibility of triggering malignant hyperthermia, rapid awaking, minimal residual effects of the respiratory system, and easiness in controlling anesthetic depth.
Egi
Moritoki
M
Department of Anesthesiology, Okayama Rosai Hospital, Okayama 702-8505.
Tokioka
Hiroaki
H
Chikai
Takashi
T
Fukushima
Tomihiro
T
Ishizu
Tomoko
T
Tanaka
Toshiaki
T
Kosogabe
Yoshinori
Y
D000328:Adult; D000768:Anesthesia, General; D002056:Burns / Q000601:surgery; D006801:Humans; D008297:Male; D009136:Muscular Dystrophies; D015742:Propofol; D016038:Skin Transplantation
D015742:Propofol