Anesthetic management for laparoscopic surgery in a patient with Charcot-Marie-Tooth disease
Niiyama, Y.; Kanaya, N.; Namiki, A.
Masui. Japanese Journal of Anesthesiology 52(5): 524-526
2003
ISSN/ISBN: 0021-4892 PMID: 12795137 Document Number: 562426
A 50-year-old woman was scheduled for laparoscopic cholecystectomy under general anesthesia. She was suffering from Charcot-Marie-Tooth (CMT) disease for 21 years, and implanted with a permanent pacemaker for IIIrd degree AV block. Anesthesia was induced with fentanyl and propofol, and maintained with oxygen-air-sevoflurane. Neuromuscular blockade was not used because of the presence of peripheral neuropathy and respiratory muscle weakness. We suggest that sevoflurane anesthesia might be useful for anesthetic management of CMT patient with a risk of postoperative respiratory failure.