Anesthetic management of a patient with myotonic dystrophy for a Nissen fundoplication and gastrostomy.
A 16-month-old baby with myotonic dystrophy underwent an open Nissen fundoplication and gastrostomy insertion under general anesthesia with an epidural. Postoperative care was managed on the pediatric intensive care unit for the first 6 h. She was then discharged to the ward, where she continued to make an uncomplicated recovery. Other anesthetic management that has been used in children with myotonic dystrophy is discussed.
Department of Anaesthetics, Great Ormond Street Hospital, London, UK. juliajenkins@doctors.org.uk
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D015360:Analgesia, Epidural / Q000379:methods; D000701:Analgesics, Opioid / Q000627:therapeutic use; D000768:Anesthesia, General / Q000379:methods*; D018685:Anesthetics, Inhalation / Q000627:therapeutic use; D000779:Anesthetics, Local / Q000627:therapeutic use; D001279:Atracurium / Q000627:therapeutic use; D002045:Bupivacaine / Q000627:therapeutic use; D005260:Female; D018662:Fundoplication / Q000379:methods*; D005774:Gastrostomy / Q000379:methods*; D006801:Humans; D007223:Infant; D007442:Intubation, Intratracheal; D008738:Methyl Ethers / Q000627:therapeutic use; D008991:Monitoring, Physiologic / Q000379:methods; D009020:Morphine / Q000627:therapeutic use; D009223:Myotonic Dystrophy / Q000601:surgery*; D003473:Neuromuscular Nondepolarizing Agents / Q000627:therapeutic use; D009609:Nitrous Oxide / Q000627:therapeutic use; D010100:Oxygen / Q000627:therapeutic use; D000077149:Sevoflurane
D000701:Analgesics, Opioid; D018685:Anesthetics, Inhalation; D000779:Anesthetics, Local; D008738:Methyl Ethers; D003473:Neuromuscular Nondepolarizing Agents; D001279:Atracurium; D000077149:Sevoflurane; D009020:Morphine; D009609:Nitrous Oxide; D010100:Oxygen; D002045:Bupivacaine