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  • 标题:Anesthetic Management in a Patient with Charcot-Marie-Tooth Disease: A case report
  • 本地全文:下载
  • 作者:Kim, Eun Sung ; Chang, Hae Wone ; Hwang, Won Jung
  • 期刊名称:Korean Journal of Anesthesiology
  • 印刷版ISSN:2005-6419
  • 出版年度:2006
  • 卷号:50
  • 期号:3
  • 页码:341-345
  • DOI:10.4097/kjae.2006.50.3.341
  • 语种:English
  • 出版社:The Korean Society of Anesthesiologists,
  • 摘要:

    A 35-year old woman was scheduled to undergo a total hystectomy due to uterine myoma. She had been diagnosed with Charcot-Marie-Tooth disease 2 years ago. In addition, she had previously received a Cesarean section under epidural anesthesia 10 years ago and reported a prolonged motor blockade at that time. General anesthesia was induced with propofol 120 mg in a divided dose and the intubating condition was achieved with vecuronium 3 mg. Anesthesia was maintained with 1.5-2.5% enflurane with air and O2. During surgery, the body temperature and end tidal concentration of CO2 were maintained within the normal range. Despite the continuous monitoring of the train-of-four (TOF) response, no more muscle relaxants were required during surgery and the patient recovered without a delay in awakening. In the management of patients with Charcot-Marie-Tooth disease, it is desirable to evaluate the patient carefully, select the appropriate anesthetics and adjust the dosage of the drug according to the patients requirements.

  • 关键词:Charcot-Marie-Tooth disease; train-of-four (TOF) response; vecuronium
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