Anesthetic Management for a Patient with Fibromyalgia
Kamitani, K.; Yoshida, H.; Arai, R.; Oishi, H.; Kataoka, H.; Nasu, M.; Kato, S.; Usami, J.; Mori, M.
Masui. Japanese Journal of Anesthesiology 64(4): 434-436
2015
ISSN/ISBN: 0021-4892 PMID: 26419112 Document Number: 681848
A 22-year-old female with fibromyalgia (FM) was scheduled for tonsillectomy under general anesthesia. Her medication included pregabalin 300 mg x day(-1) and dantrolene 50 mg x day(-1). Anesthesia was maintained with sevoflurane-remifentanil-fentanyl. Intravenous injection of fentanyl 20 μg x hr(-1) and droperidol 100 μg x hr(-1) was continued for 24 hours. On the first postoperative day, she reported that she had slept well and had no pain. There are some perioperative problems in a patient with FM. Therefore, anesthetic managements for a patient with FM is worth reporting.