title: [Anesthesia in Duchennes Muscular Dystrophy patient: case report].
abstract: OBJECTIVE
  Duchennes Muscular Dystrophy is an X-linked recessive disorder, generally diagnosed in childhood, which progressively worsens to degenerate respiratory function. This report aimed at presenting the case of a patient with Duchennes Muscular Dystrophy diagnosed 2 years before, submitted to postectomy under general anesthesia with ketamine S.
  
  
  METHODS
  Male patient, 9 years old, with Duchennes Muscular Dystrophy diagnosed 2 years before, submitted to general anesthesia with intravenous levo-ketamine (1.5 mg.kg-1), under spontaneous ventilation manually assisted by Mapleson A Baraka system and penile block with 25 mg of 0.5% bupivacaine. Monitoring consisted of non invasive blood pressure, pulse oximetry, cardioscopy and esophageal temperature. There were no incidents during surgery, and after surgery patient had a few vomiting episodes, without other significant complications. Patient remained in hospital for 24 hours and was discharged asymptomatic.
  
  
  CONCLUSIONS
  Very careful pre-anesthetic evaluation, adequate monitoring and drugs not predisposing to complications make surgery and postoperative period safe for Duchennes Muscular Dystrophy patients.
authors.affiliation: Faculdade de Medicina do ABC.
authors.forename: Deoclécio
authors.initials: D
authors.lastname: Tonelli
authors.forename: Iglair
authors.initials: I
authors.lastname: Pinho
authors.forename: Paula de Camargo Neves
authors.initials: Pde C
authors.lastname: Sacco
authors.forename: Eduardo Piccinini
authors.initials: EP
authors.lastname: Vianna
authors.forename: José Correia de
authors.initials: JC
authors.lastname: Vasconcellos
authors.forename: Raquel Vasconcelos de
authors.initials: RV
authors.lastname: Souza
authors.forename: Sidney
authors.initials: S
authors.lastname: Umakoshi