A combined technique utilising regional anaesthesia and target-controlled sedation in a patient with myotonic dystrophy.
Myotonic dystrophy presents several problems to the anaesthetist. We describe what we believe to be the first report of target-controlled sedation combined with regional anaesthesia in a patient with myotonic dystrophy. Precise control of propofol levels and titration to patient satisfaction avoided the problem of delayed recovery which has been described with propofol anaesthesia.
Aquilina
A
A
Department of Anaesthetics, Chesterfield and North Derbyshire Royal Hospital, Calow, Chesterfield, North Derbyshire S44 5BL.
Groves
J
J
D000775:Anesthesia, Spinal / Q000379:methods*; D016292:Procedural Sedation / Q000379:methods*; D004334:Drug Administration Schedule; D016503:Drug Delivery Systems; D006801:Humans; D006993:Hypnotics and Sedatives / Q000008:administration & dosage*; D008297:Male; D008875:Middle Aged; D009223:Myotonic Dystrophy / Q000150:complications*; D015742:Propofol / Q000008:administration & dosage*
D006993:Hypnotics and Sedatives; D015742:Propofol