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Anesthetic management with a laryngeal mask airway for gastrectomy in a patient with myotonic dystrophy

机译:强直性肌营养不良患者胃切除术的喉罩气道麻醉管理

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摘要

We report a case of 50-year-old male with myotonic dystrophy who underwent distal gastrectomy. A laryngeal mask airway (LMA) was inserted easily without using a muscle relaxant after propofol injection. Anesthesia was maintained with continuous propofol infusion and epidural anesthesia. The airway management with LMA enabled us to evaluate patient's awareness and respiratory pattern appropriately at the end of anesthesia. No respiratory complications, such as respiratory depression or atelectasis, occurred after surgery. We consider that LMA is useful for anesthetic management in a patient with myotonic dystrophy.
机译:我们报道了一名50岁的患有强直性肌营养不良症的男性患者,该患者接受了远端胃切除术。异丙酚注射后无需使用肌肉松弛剂即可轻松插入喉罩气道(LMA)。持续进行异丙酚输注和硬膜外麻醉维持麻醉。 LMA的气道管理使我们能够在麻醉结束时适当评估患者的意识和呼吸模式。手术后未发生呼吸系统并发症,如呼吸抑制或肺不张。我们认为LMA对强直性营养不良患者的麻醉处理很有用。

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