title: Laparoscopic cholecystectomy under continuous spinal anesthesia in a patient with Steinert's disease.
abstract: Steinert's disease is an intrinsic disorder of the muscle with multisystem manifestations. Myotonia may affect any muscle group, is elicited by several factors and drugs used in general anesthesia like hypnotics, sedatives and opioids. Although some authors recommend the use of regional anesthesia or combined anesthesia with low doses of opioids, the safest anesthetic technique still has to be established. We performed a continuous spinal anesthesia in a patient with Steinert's disease undergoing laparoscopic cholecystectomy using 10mg of bupivacaine 0.5% and provided ventilatory support in the perioperative period. Continuous spinal anesthesia was safely used in Steinert's disease patients but is not described for laparoscopic cholecystectomy. We reported a continuous spinal anesthesia as an appropriate technique for laparoscopic cholecystectomy and particularly valuable in Steinert's disease patients.
authors.affiliation: Serviço Anestesiologia, Centro Hospitalar Lisboa Ocidental, Lisboa, Portugal. Electronic address: mariana.d.correia@gmail.com.
authors.forename: Mariana
authors.initials: M
authors.lastname: Correia
authors.affiliation: Serviço Anestesiologia, Centro Hospitalar Alto Ave, Guimarães, Portugal.
authors.forename: Angela
authors.initials: A
authors.lastname: dos Santos
authors.affiliation: Serviço Anestesiologia, Centro Hospitalar Alto Ave, Guimarães, Portugal.
authors.forename: Neusa
authors.initials: N
authors.lastname: Lages
authors.affiliation: Serviço Anestesiologia, Centro Hospitalar Alto Ave, Guimarães, Portugal.
authors.forename: Carlos
authors.initials: C
authors.lastname: Correia
mesh_terms: D000328:Adult; D000775:Anesthesia, Spinal / Q000379:methods*; D000779:Anesthetics, Local / Q000008:administration & dosage*; D002045:Bupivacaine / Q000008:administration & dosage; D017081:Cholecystectomy, Laparoscopic / Q000379:methods*; D005260:Female; D006801:Humans; D009223:Myotonic Dystrophy / Q000150:complications* / Q000503:physiopathology
chemical_list: D000779:Anesthetics, Local; D002045:Bupivacaine
keywords: Colecistectomia laparoscópica; Continuous spinal anesthesia; Doença de Steinert; Laparoscopic cholecystectomy; Raquianestesia contínua; Steinert's disease