Anesthetic management of a patient with chronic inflammatory demyelinating polyneuropathy by combination of total intravenous and regional anesthesia View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2019-12

AUTHORS

Daiki Takekawa, Kishiko Nakai, Hirotaka Kinoshita, Junichi Saito, Masato Kitayama, Tetsuya Kushikata, Kazuyoshi Hirota

ABSTRACT

Chronic inflammatory demyelinating polyneuropathy (CIPD) is a rare acquired immune-mediated progressive and relapsing disorder that causes peripheral neuropathy lasting more than 2 months. We report the successful anesthetic management of a 66-year-old man with CIPD undergoing the laparoscopic Hartmann procedure. We induced and maintained total intravenous anesthesia (TIVA) using propofol, remifentanil, and ketamine without muscle relaxants. We performed ultrasound-guided transversus abdominis plane and rectus sheath blocks with 60 ml of 0.25% levobupivacaine for achieving good surgical conditions. For postoperative analgesia, we intravenously administered fentanyl (200 μg) and acetaminophen (1000 mg). The patient was uneventfully extubated in the operating room after confirming adequate spontaneous breathing. The postoperative course was uneventful without any respiratory complications such as respiratory depression, aspiration pneumonia, or progression of CIPD symptoms. More... »

PAGES

19

Identifiers

URI

http://scigraph.springernature.com/pub.10.1186/s40981-019-0241-2

DOI

http://dx.doi.org/10.1186/s40981-019-0241-2

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1112672299


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