Korean J Anesthesiol.  2007 Aug;53(2):238-241. 10.4097/kjae.2007.53.2.238.

Total Intravenous Anesthesia using Bispectral Index for Transvaginal Uterine Myomectomy in a Patient with Myotonic Dystrophy: A case report

• Lee HJ
• Chon JY
• Hwang SJ

• KMID: 2243381
• DOI: http://doi.org/10.4097/kjae.2007.53.2.238

Abstract

We report a patient with myotonic dystrophy, who underwent a transvaginal uterine myomectomy. Anaesthesia was induced and maintained with remifentanil and the target-controlled infusion of propofol titrated according to the bispectral index (BIS). A ProSeal laryngeal mask airway (PLMA) was inserted, and mechanical ventilation was performed without a muscle relaxant. The time from the end of anaesthesia to the patient-awakening was approximately 8 minutes. The rapid offset of the action of remifentanil and low-dose propofol facilitated early recovery without respiratory complications. The total intravenous anaesthesia using the BIS and the PLMA without a muscle relaxant is a useful anaesthetic technique in myotonic dystrophy patients.

Keyword

bispectral index; myotonic dystrophy; propofol; ProSeal laryngeal mask airway; remifentanil; uterine myomectomy

MeSH Terms

Anesthesia, Intravenous*
Humans
Laryngeal Masks
Myotonic Dystrophy*
Propofol
Respiration, Artificial
Uterine Myomectomy*
Propofol