[Anesthesia in Duchennes Muscular Dystrophy patient: case report].
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.
Tonelli
Deoclécio
D
Faculdade de Medicina do ABC.
Pinho
Iglair
I
Sacco
Paula de Camargo Neves
Pde C
Vianna
Eduardo Piccinini
EP
Vasconcellos
José Correia de
JC
Souza
Raquel Vasconcelos de
RV
Umakoshi
Sidney
S