[Anesthetic management for laparoscopic surgery in a patient with Charcot-Marie-Tooth disease].
A 50-year-old woman was scheduled for laparoscopic cholecystectomy under general anesthesia. She was suffering from Charcot-Marie-Tooth (CMT) disease for 21 years, and implanted with a permanent pacemaker for IIIrd degree AV block. Anesthesia was induced with fentanyl and propofol, and maintained with oxygen-air-sevoflurane. Neuromuscular blockade was not used because of the presence of peripheral neuropathy and respiratory muscle weakness. We suggest that sevoflurane anesthesia might be useful for anesthetic management of CMT patient with a risk of postoperative respiratory failure.
Niiyama
Yukitoshi
Y
Department of Anesthesiology, Sapporo Medical University, School of Medicine, Sapporo 060-8556.
Kanaya
Noriaki
N
Namiki
Akiyoshi
A
D000768:Anesthesia, General / Q000379:methods*; D002607:Charcot-Marie-Tooth Disease / Q000150:complications*; D017081:Cholecystectomy, Laparoscopic; D002769:Cholelithiasis / Q000601:surgery*; D005260:Female; D006801:Humans; D008875:Middle Aged