General anesthesia for adults with mitochondrial myopathy.
We report the case of a 59-year-old woman with mitochondrial myopathy who underwent elective laparoscopic cholecystectomy and hemorrhoidectomy, and we review the literature discussing general anesthesia for adults with mitochondrial myopathy. Our management technique avoids neuromuscular-blocking drugs and uses a modified awake intubation method not previously described in such patients. We hope to improve patient safety by discussing evidence-based anesthetic concerns and complications specific to these uncommon patients and aid practitioners in devising a suitable anesthetic plan.
From the *Singhealth Anaesthesiology Residency Program, Department of Anaesthesia and Surgical Intensive Care, Changi General Hospital, Singapore, Singapore; and †Department of Anaesthesia and Surgical Intensive Care, Changi General Hospital, Singapore, Singapore.
Sau Yee
SY
Chow
Kwee Lian
KL
Woon
D000328:Adult; D000768:Anesthesia, General; D017081:Cholecystectomy, Laparoscopic; D005260:Female; D005705:Gallbladder Diseases / Q000150:complications / Q000601:surgery; D061865:Hemorrhoidectomy; D006801:Humans; D007442:Intubation, Intratracheal; D017240:Mitochondrial Myopathies / Q000150:complications*