title: [A case report of rapid inhalation induction with sevoflurane in a patient with porphyria].
abstract: We experienced anesthetic management for a patient with acute intermittent porphyria. A 52-year-old woman underwent a partial right mastectomy. She was anesthetized with continuous thoracic epidural blockade combined with general anesthesia using nitrous oxide, oxygen and sevoflurane. To avoid porphyric attack, we chose vital capacity breath technique for rapid induction. We could successfully manage the patient during the perioperative period without appearance of porphyric symptoms. We conclude that vital capacity breath technique for rapid induction may be suitable for use in patients with porphyria.
authors.affiliation: Department of Dentistry and Oral and Maxillofacial Surgery, Hamamatsu University School of Medicine, Hamamatsu 431 3192.
authors.forename: Shigeya
authors.initials: S
authors.lastname: Takahashi
authors.forename: Yoshito
authors.initials: Y
authors.lastname: Shiraishi
authors.forename: Jun-ichirou
authors.initials: J
authors.lastname: Yokoyama
mesh_terms: D000368:Aged; D000767:Anesthesia, Epidural; D018685:Anesthetics, Inhalation; D001943:Breast Neoplasms / Q000503:physiopathology / Q000601:surgery; D005260:Female; D006801:Humans; D008738:Methyl Ethers; D017118:Porphyria, Acute Intermittent / Q000150:complications*; D000077149:Sevoflurane; D014797:Vital Capacity
chemical_list: D018685:Anesthetics, Inhalation; D008738:Methyl Ethers; D000077149:Sevoflurane