Anaesthetic management in a case of Huntington's chorea.
There are only a few case reports regarding the anaesthetic management of a patient with Huntington's chorea and the best anaesthetic technique is yet to be established for those patients which are at higher risk of perioperative complications. We describe the successful management of a 30-year-old patient suffering from Huntington's chorea admitted for urgent appendectomy. To minimize the risk of aspiration, the trachea was intubated using a fiberscope with the patient sedated and spontaneously breathing. Anaesthesia was maintained with isoflurane and fentanyl and the recovery was rapid and uneventful as the postoperative course.
Gilli
E
E
Institute of Anaesthesiology and General Intensive Care, GB Rossi Polyclinic, University of Verona, Verona, Italy. mxfsgi@tin.it
Bartoloni
A
A
Fiocca
F
F
Dall'Antonia
F
F
Carluccio
S
S
D000328:Adult; D000758:Anesthesia; D000929:Antidepressive Agents, Tricyclic / Q000009:adverse effects / Q000627:therapeutic use; D001062:Appendectomy; D005260:Female; D006801:Humans; D006816:Huntington Disease / Q000150:complications
D000929:Antidepressive Agents, Tricyclic