Anaesthetic management of a patient with motor neuron disease posted for microlaryngeal surgery.
Motor neuron disease (MND) typically affects upper and lower motor neurons without any sensory involvement. Regional anaesthesia is preferred in motor neuron disease patients to avoid aspiration and possibility of prolonged postoperative ventilation following general anaesthesia. As microlaryngeal surgery in a motor neuron disease patient needed airway protection, it was decided to perform the surgery under general anaesthesia with awake intubation following airway block and avoiding muscle relaxant agents completely to minimise unnecessary complications. The patient was allowed spontaneous breathing while maintaining anaesthesia and stable haemodynamic condition with combination of anaesthetic and analgesic agents accordingly throughout the operation.
Department of Anaesthesiology, Bangur Institute of Neurosciences and IPGME&R, Kolkata 700025.
Saikat
S
Niyogi
Dwaipayan
D
Mukherjee
Jayanta
J
Chakraborty
Pradipta
P
Mitra
Sankari
S
Santra
Amit
A
Acharya
D000768:Anesthesia, General; D000075202:Contraindications; D005260:Female; D006801:Humans; D007442:Intubation, Intratracheal / Q000379:methods; D007818:Laryngeal Diseases / Q000601:surgery*; D008012:Lidocaine; D008875:Middle Aged; D016472:Motor Neuron Disease / Q000503:physiopathology*; D009407:Nerve Block; D009467:Neuromuscular Depolarizing Agents; D003473:Neuromuscular Nondepolarizing Agents
D009467:Neuromuscular Depolarizing Agents; D003473:Neuromuscular Nondepolarizing Agents; D008012:Lidocaine