anesthetic research - from Japan

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Abstract from Masui. 2003 May;52(5):524-6.

Anesthetic management for laparoscopic surgery in a patient with

Charcot-Marie-Tooth disease

[Article in Japanese]

Niiyama Y, Kanaya N, Namiki A.

Department of Anesthesiology, Sapporo Medical University, School of

Medicine, Sapporo 060-8556.

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.