[Anesthetic management of a patient with amyotrophic lateral sclerosis (ALS)].
A 63-year-old man suffering from amyotrophic lateral sclerosis (ALS) was scheduled for a surgery of rectal cancer. Anesthetic management was planned aiming early recovery from anesthesia and reduction of muscle relaxant administration. Orotracheal intubation was carried out by intravenous administration of a comparatively large dose propofol (3 mg.kg-1) and sevoflurane as high as 5%. Adequate muscle relaxation was obtained throughout the operation by inhalation of 2-3% sevoflurane and single intravenous administration of vecuronium 1 mg. A combination of propofol and sevoflurane is a successful choice to eliminate effects of anesthesia early after surgery and also to reduce the amount of a muscle relaxant used.
Mishima
Yasunori
Y
Department of Anesthesia, Omuta City General Hospital, Omuta 836-8567.
Katsuki
Shiho
S
Sawada
Maiko
M
Sato
Teruyuki
T
Hiraki
Teruyuki
T
Kano
Tatsuhiko
T
D000690:Amyotrophic Lateral Sclerosis / Q000150:complications*; D000768:Anesthesia, General / Q000379:methods*; D006801:Humans; D008297:Male; D008875:Middle Aged; D012004:Rectal Neoplasms / Q000209:etiology / Q000601:surgery