Laparoscopic cholecystectomy under continuous spinal anesthesia in a patient with Steinert's disease

Mariana Correia; Angela dos Santos; Neusa Lages; Carlos Correia

doi:10.1016/j.bjane.2014.01.005

Clinical Informations

Laparoscopic cholecystectomy under continuous spinal anesthesia in a patient with Steinert's disease

Colecistectomia laparoscópica sob raquianestesia contínua em paciente com doença de Steinert

Mariana Correia; Angela dos Santos; Neusa Lages; Carlos Correia

http://dx.doi.org/10.1016/j.bjane.2014.01.005 Braz J Anesthesiol, vol.66, n2, p.197-199, 2016

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Abstract

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 10 mg 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.

Keywords

Continuous spinal anesthesia, Steinert's disease, Laparoscopic cholecystectomy

Resumo

RESUMO A doença de Steinert é uma desordem intrínseca do músculo com manifestações multissistêmicas. A miotonia pode afetar qualquer grupo muscular e é provocada por vários fatores e medicamentos usados em anestesia geral, como hipnóticos, sedativos e opiáceos. Embora alguns autores recomendem o uso de anestesia regional ou anestesia combinada com opiáceos em doses baixas, a técnica anestésica mais segura ainda precisa ser estabelecida. Administramos raquianestesia contínua em um paciente com doença de Steinert submetido à colecistectomia laparoscópica, com 10 mg de bupivacaína a 0,5%, e fornecemos suporte ventilatório no período perioperatório. A raquianestesia contínua foi usada com segurança em pacientes com doença de Steinert, mas não foi relatada em colecistectomia laparoscópica. Relatamos a raquianestesia contínua como uma técnica adequada para a colecistectomia laparoscópica e particularmente valiosa em pacientes com doença de Steinert.

Palavras-chave

Raquianestesia contínua, Doença de Steinert, Colecistectomia laparoscópica

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Laparoscopic cholecystectomy under continuous spinal anesthesia in a patient with Steinert's disease

Colecistectomia laparoscópica sob raquianestesia contínua em paciente com doença de Steinert

Mariana Correia; Angela dos Santos; Neusa Lages; Carlos Correia

Abstract

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