title: [Total intravenous anesthesia with propofol and remifentanil for a patient with myotonic dystrophy].
abstract: A 54-year-old woman, complicated with myotonic dystrophy, underwent laparoscopic cholecystectomy for cholelithiasis. The patient was given total intravenous anesthesia using propofol, remifentanil and vecuronium, combined with epidural anesthesia using ropivacaine. No complication occurred, and the patient recovered from anesthesia without delay. For the relief of postoperative pain, ropivacaine (0.2%) was given epidurally. The postoperative course was uneventful. The anesthesia with remifentanil is extremely useful for patients with myotonic dystrophy.
authors.affiliation: Department of Anesthesia, Ome Municipal General Hospital, Ome 198-0042.
authors.forename: Taishi
authors.initials: T
authors.lastname: Masamune
authors.forename: Iwao
authors.initials: I
authors.lastname: Okawa
authors.forename: Hironobu
authors.initials: H
authors.lastname: Iwashita
authors.forename: Takeshi
authors.initials: T
authors.lastname: Oguchi
authors.forename: Takashi
authors.initials: T
authors.lastname: Matsukawa
mesh_terms: D000767:Anesthesia, Epidural; D000771:Anesthesia, Intravenous; D017081:Cholecystectomy, Laparoscopic; D002769:Cholelithiasis / Q000150:complications / Q000601:surgery; D005260:Female; D006801:Humans; D008875:Middle Aged; D009223:Myotonic Dystrophy / Q000150:complications*; D010880:Piperidines; D015742:Propofol; D000077208:Remifentanil
chemical_list: D010880:Piperidines; D000077208:Remifentanil; D015742:Propofol