Brazilian Journal of Anesthesiology
https://bjan-sba.org/article/doi/10.1016/j.bjane.2021.02.046
Brazilian Journal of Anesthesiology
Case Report

Combined spinal-epidural anesthesia for abdominoplasty and liposuction in Limb-girdle Muscular Dystrophy: case report

Anestesia combinada espinhal-epidural para abdominoplastia e lipoaspiração em distrofia muscular de cinturas: relato de caso

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

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Abstract

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.

Keywords

Case Reports,  Limb-Girdle Muscular Dystrophy,  Anesthesia,  Abdominoplasty,  Perioperative Care

References

1 E. Taghizadeh, M. Rezaee, G.E. Barreto, et al. Prevalence, pathological mechanisms, and genetic basis of limb-girdle muscular dystrophies: A review J Cell Physiol, 234 (2019), pp. 7874-7884

2 X.Q. Cao, K. Joypaul, F. Cao, et al. Anesthetic management of a patient with limb-girdle muscular dystrophy 2B:CARE-compliant case report and literature review BMC Anesthesiol, 19 (2019), p. 155

3 M. Schieren, J. Defosse, A. Böhmer, et al. Anaesthetic management of patients with myopathies Eur J Anaesthesiol, 34 (2017), pp. 641-649

4 J.J. Gagnier, G. Kienle, D.G. Altman, et al. The CARE Guidelines: Consensus-based Clinical Case Reporting Guideline Development Glob Adv Health Med, 2 (2013), pp. 38-43

5 M. Gehling, M. Tryba Risks and side-effects of intrathecal morphine combined with spinal anaesthesia: a meta-analysis Anaesthesia, 64 (2009), pp. 643-651
 

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