Anesthetic experience using total intravenous anesthesia in a patient with Isaacs' syndrome -A case report-

Korean Journal of Anesthesiology

Sang Hoon Lee¹  Eun Mi Choi¹  Young Ryong Choi¹  Young Mi Kim¹  Cheol Sig Han¹  Mi Hwa Chung¹ 

[1] Department of Anesthesiology and Pain Medicine, Kangnam Sacred Heart Hospital, Hallym University College of Medicine, Seoul, Korea.;

关键词: atracurium;    isaacs' syndrome;    tiva;   

DOI  :  10.4097/kjae.2013.64.2.164

来源: DOAJ

【 摘 要 】

We report on an anesthetic experience with a 74-year-old female with Isaacs' syndrome, who underwent elective surgery for open rotator cuff repair. Isaacs' syndrome is a rare peripheral motor neuron disorder with clinical manifestations such as involuntary muscle twitching, cramps, mild weakness and increased sweating. To avoid prolonged neuromuscular blockade, the patient was observed with neuromuscular monitoring during total intravenous anesthesia with propofol, remifentanil, and atracurium. No adverse events were observed during the anesthetic management, and the patient recovered smoothly from the neuromuscular blockade. We describe the clinical characteristics of Isaacs' syndrome and its specific considerations in anesthesia.

【 授权许可】

Unknown