title: [Perioperative anesthetic management of a patient with multiple sclerosis].
abstract: We report general anesthesia for a patient with multiple sclerosis (MS). A 40-year-old male patient with a 13-year history of MS was scheduled for laparoscopic surgery. The symptoms of MS had been exacerbated during feverish state or under surgical stress in the previous surgeries. To prevent surgical stress response and postoperative fever, we performed epidural anesthesia with continuous intravenous infusion of propofol and fentanyl during surgery. Flurbiprofen axetil was used for slight postoperative fever. There was no clinical exacerbation of MS during perioperative period. In conclusion, appropriate control of surgical stress and prevention of fever are important for perioperative anesthetic management of patients suffering from MS.
authors.affiliation: Department of Anesthesiology and Reanimatology, University of Fukui, Faculty of Medical Sciences, Fukui.
authors.forename: Akitoshi
authors.initials: A
authors.lastname: Okada
authors.forename: Munetaka
authors.initials: M
authors.lastname: Hirose
authors.forename: Kumiko
authors.initials: K
authors.lastname: Shimizu
authors.forename: Kayo
authors.initials: K
authors.lastname: Tsugita
authors.forename: Yuka
authors.initials: Y
authors.lastname: Matsuki
authors.forename: Yasunari
authors.initials: Y
authors.lastname: Nobukawa
authors.forename: Mari
authors.initials: M
authors.lastname: Tabata
authors.forename: Masayuki
authors.initials: M
authors.lastname: Ishimoto
authors.forename: Masashi
authors.initials: M
authors.lastname: Ueda
authors.forename: Kenji
authors.initials: K
authors.lastname: Shigemi
mesh_terms: D000328:Adult; D000767:Anesthesia, Epidural; D005283:Fentanyl / Q000008:administration & dosage; D005334:Fever / Q000517:prevention & control*; D005480:Flurbiprofen / Q000008:administration & dosage; D006801:Humans; D007262:Infusions, Intravenous; D010535:Laparoscopy; D008297:Male; D009103:Multiple Sclerosis; D019990:Perioperative Care; D011183:Postoperative Complications / Q000517:prevention & control*; D015742:Propofol / Q000008:administration & dosage; D013315:Stress, Psychological / Q000517:prevention & control*
chemical_list: D005480:Flurbiprofen; D005283:Fentanyl; D015742:Propofol