Anaesthetic management in children with metachromatic leukodystrophy.
We present a case of metachromatic leukodystrophy in a child who required surgery for gastro-oesophageal reflux. In spite of his demyelinating disease, we used a lumbar epidural technique with general anaesthesia; the epidural catheter allowed us to continue the analgesia postoperatively and to avoid opioids in this high risk patient.
Hernández-Palazón
Joaquín
J
Department of Anaesthesia, Hospital Universitario, Virgen de la Arrixaca, Murcia, Spain. joapal@teleline.es
D000759:Adjuvants, Anesthesia / Q000627:therapeutic use; D000767:Anesthesia, Epidural / Q000379:methods*; D000768:Anesthesia, General / Q000379:methods*; D018685:Anesthetics, Inhalation / Q000627:therapeutic use; D018686:Anesthetics, Intravenous / Q000627:therapeutic use; D001279:Atracurium / Q000627:therapeutic use; D001285:Atropine / Q000627:therapeutic use; D002675:Child, Preschool; D005260:Female; D005764:Gastroesophageal Reflux / Q000150:complications / Q000601:surgery; D006801:Humans; D007530:Isoflurane / Q000627:therapeutic use; D007966:Leukodystrophy, Metachromatic / Q000150:complications / Q000503:physiopathology*; D003473:Neuromuscular Nondepolarizing Agents / Q000627:therapeutic use; D015742:Propofol / Q000627:therapeutic use
D000759:Adjuvants, Anesthesia; D018685:Anesthetics, Inhalation; D018686:Anesthetics, Intravenous; D003473:Neuromuscular Nondepolarizing Agents; D001279:Atracurium; D001285:Atropine; D007530:Isoflurane; D015742:Propofol