Korean J Anesthesiol.  2008 Aug;55(2):250-253. 10.4097/kjae.2008.55.2.250.

Anesthetic management with neuromuscular monitoring and bispectral index in an amyotrophic lateral sclerosis patient: A case report

Affiliations
  • 1Department of Anesthesiology and Pain Medicine, Seoul National University Bundang Hospital, Seoul National University College of Medicine, Seongnam, Korea. oay1@snubh.org

Abstract

Amyotrophic lateral sclerosis is a neurodegenerative disease caused by the degeneration of upper and lower motor neurons. The disorder causes muscle weakness and atrophy throughout the body. There is an unexpected response to depolarizing or nondepolarizing muscle relaxants, and risk of perioperative respiratory failure is high. Careful monitoring and minimal doses of anesthetics are needed. We report a case of general anesthesia in a patient with amyotrophic lateral sclerosis. We used proper doses of muscle relaxant and inhalation anesthetics with neuromuscular monitoring and bispectral index. The patient early recovered from anesthesia without any respiratory complications.

Keyword

amyotrophic lateral sclerosis; BIS; neuromuscular monitoring

MeSH Terms

Amyotrophic Lateral Sclerosis
Anesthesia
Anesthesia, General
Anesthetics
Anesthetics, Inhalation
Atrophy
Humans
Motor Neurons
Muscle Weakness
Muscles
Neurodegenerative Diseases
Neuromuscular Monitoring
Respiratory Insufficiency
Anesthetics
Anesthetics, Inhalation
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