title: Femoral and sciatic nerve block for knee arthroscopy in a patient with acute intermittent porphyria.
abstract: Acute intermittent porphyria is an autosomal dominant disorder that results from a partial deficiency of porphobilinogen deaminase and that causes very severe symptoms. Attacks may be triggered by a series of drugs and by other factors that the anesthesiologist should be aware of in order to reduce morbidity and mortality. Our objective is to review anesthetic considerations in acute intermittent porphyria. We present the case of a patient diagnosed with acute intermittent porphyria who was scheduled for knee arthroscopy. The anesthetic technique used was a femoral and sciatic nerve block under sedation with an infusion of remifentanil. The surgery proceeded without incident and the patient was discharged home after 24h. We consider the use of a peripheral plexus block of the lower limb to have been the safest anesthetic technique for this patient.
authors.affiliation: Department of Anaesthesiology and Reanimation and Therapy of Pain Parc de Salut Mar, Universitat Autònoma de Barcelona, Barcelona, Spain.
authors.forename: L
authors.initials: L
authors.lastname: Bosch
authors.affiliation: Department of Anaesthesiology and Reanimation and Therapy of Pain Parc de Salut Mar, Universitat Autònoma de Barcelona, Barcelona, Spain.
authors.forename: T
authors.initials: T
authors.lastname: Villar
authors.affiliation: Department of Anaesthesiology and Reanimation and Therapy of Pain Parc de Salut Mar, Universitat Autònoma de Barcelona, Barcelona, Spain.
authors.forename: M Y
authors.initials: MY
authors.lastname: Latorre
authors.affiliation: Department of Anaesthesiology and Reanimation and Therapy of Pain Parc de Salut Mar, Universitat Autònoma de Barcelona, Barcelona, Spain. Electronic address: 94397@parcdesalutmar.cat.
authors.forename: S
authors.initials: S
authors.lastname: Pacreu
mesh_terms: D001182:Arthroscopy; D005267:Femoral Nerve; D006801:Humans; D009407:Nerve Block; D017118:Porphyria, Acute Intermittent / Q000175:diagnosis; D012584:Sciatic Nerve
keywords: Acute intermittent porphyria; Anesthetic considerations; Bloqueo plexo periférico; Consideraciones anestésicas; Peripheral plexus block; Porfiria aguda intermitente