title: [Anesthetic management of a patient with Becker muscular dystrophy].
abstract: We experienced anesthetic management of a patient with Becker muscular dystrophy. He had advanced dilated cardiomyopathy and high serum CK in the preoperative examinations. Anesthesia was planned to avoid triggering malignant hyperthermia or rhabdomyolysis and hemodynamic changes. Propofol, remifentanil and a minimum dose of rocuronium bromide were used for anesthetic induction and maintainance. Arterial pressure, cardiac output and stroke volume variation were monitored by Flotrac sensor. There were no adverse events observed during the anesthetic management. In conclusion, total intravenous anesthesia with the administration of rocuronium and circulatory monitoring by Flotrac sensor could be safe and efficient for anesthetic management of patients with Becker muscular dystrophy.
authors.affiliation: Department of Anesthesiology, Tokushima University Hospital, Tokushima 770-8503.
authors.forename: Naohiro
authors.initials: N
authors.lastname: Ohshita
authors.forename: Yoshinobu
authors.initials: Y
authors.lastname: Tomiyama
authors.forename: Yasuo M
authors.initials: YM
authors.lastname: Tsutsumi
authors.forename: Nami
authors.initials: N
authors.lastname: Kakuta
authors.forename: Tomohiro
authors.initials: T
authors.lastname: Soga
authors.forename: Akio
authors.initials: A
authors.lastname: Iseki
authors.forename: Shuzo
authors.initials: S
authors.lastname: Oshita
authors.forename: Katsuya
authors.initials: K
authors.lastname: Tanaka
mesh_terms: D000732:Androstanols / Q000008:administration & dosage; D000768:Anesthesia, General; D000771:Anesthesia, Intravenous; D002311:Cardiomyopathy, Dilated / Q000150:complications; D006801:Humans; D007405:Intervertebral Disc Displacement / Q000150:complications / Q000601:surgery; D007431:Intraoperative Complications / Q000517:prevention & control; D008297:Male; D008305:Malignant Hyperthermia / Q000517:prevention & control; D008875:Middle Aged; D016343:Monitoring, Intraoperative / Q000295:instrumentation; D020388:Muscular Dystrophy, Duchenne / Q000150:complications / Q000601:surgery*; D012206:Rhabdomyolysis / Q000517:prevention & control; D000077123:Rocuronium
chemical_list: D000732:Androstanols; D000077123:Rocuronium