title: Use of ultrasound-guided intercostal nerve block as a sole anaesthetic technique in a high-risk patient with Duchenne muscular dystrophy.
abstract: Duchenne muscular dystrophy is a progressive neuromuscular disease. Mortality is typically related to combined respiratory failure and dilated cardiomyopathy. Surgery under general anesthesia or deep sedation presents increased risks for pulmonary complications or ventilator dependency postoperatively. We describe the utility of ultrasound guided intercostal nerve blocks for surgery on the chest wall in a patient with Duchenne muscular dystrophy and severe respiratory compromise.
authors.affiliation: Department of Anesthesiology, Catholic University of Leuven, Leuven, Belgium.
authors.forename: C
authors.initials: C
authors.lastname: Vandepitte
authors.forename: Ph
authors.initials: P
authors.lastname: Gautier
authors.forename: P
authors.initials: P
authors.lastname: Bellen
authors.forename: H
authors.initials: H
authors.lastname: Murata
authors.forename: E A
authors.initials: EA
authors.lastname: Salviz
authors.forename: A
authors.initials: A
authors.lastname: Hadzic
mesh_terms: D000328:Adult; D000758:Anesthesia / Q000379:methods*; D006801:Humans; D008297:Male; D020388:Muscular Dystrophy, Duchenne / Q000150:complications*; D009407:Nerve Block / Q000379:methods*; D012307:Risk Factors; D018084:Ultrasonography, Interventional