Combined spinal-epidural anesthesia for abdominoplasty and liposuction in Limb-girdle Muscular Dystrophy: case report
Plinio da Cunha Leal, Wildney Leite Lima, Eduardo José Silva Gomes de Oliveira, Caio Márcio Barros de Oliveira, Lyvia Maria Rodrigues de Sousa Gomes, Elizabeth Teixeira Noguera Servin, Ed Carlos Rey Moura
We report the anesthetic management with combined spinal-epidural in a patient with limb-girdle muscular dystrophy type 2A, submitted to abdominoplasty and liposuction. The patient had onset of symptoms at 8 years old, diagnosed by muscular biopsy, presenting muscle weakness in the scapular and pelvic girdles, with reduced mobility. We performed monitorization with non-invasive blood pressure, oximeter, thermometer, and electrocardiogram. In the postoperative period, she showed no clinical signs of rhabdomyolysis, myotonia or adverse effects, maintaining hemodynamic stability. The anesthesia technique allowed spontaneous ventilation, monitoring of clinical parameters close to physiological conditions and used smaller doses of medication, reducing related risks.