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Total intravenous anesthesia with propofol and remifentanil in a patient with MELAS syndrome -A case report
Total intravenous anesthesia with propofol and remifentanil in a patient with MELAS syndrome -A case report-
- Park, J.S.;
- Baek, C.W.;
- Kang, H.;
- Cha, S.M.;
- Park, J.W.;
- ... Jung, Y.H.;
- ... Woo, Y.-C.
Citations
SCOPUS
16초록
A 23-year-old woman with MELAS (mitochondrial myopathy, encephalopathy, lactic acidosis, and stroke-like episodes) underwent a laparoscopy-assisted appendectomy. MELAS syndrome is a multisystemic disease caused by mitochondrial dysfunction. General anesthesia has several potential hazards to patients with MELAS syndrome, such as malignant hyperthermia, hypothermia, and metabolic acidosis. In this case, anesthesia was performed with propofol, remifentanil TCI, and atracurium without any surgical or anesthetic complications. We discuss the anesthetic effects of MELAS syndrome. Copyright © Korean Society of Anesthesiologists, 2010.
키워드
Atracurium; General anesthesia; Melas syndrome; Propofol; Remifentanil; TIVA; acetylsalicylic acid; adenosine; atracurium; bicarbonate; carbamazepine; fresofol; glucose; glycopyrronium bromide; guanine; insulin; lactic acid; lidocaine; ondansetron; oxygen; propofol; pyridostigmine; remifentanil; sodium; sodium chloride; transfer RNA; unclassified drug; absence of side effects; acute appendicitis; adult; air; anesthesia induction; aphasia; appendectomy; arterial carbon dioxide tension; arterial gas; arterial oxygen saturation; arterial pH; article; artificial ventilation; bicarbonate blood level; bispectral index; blood examination; blood pressure; blood pressure monitoring; body temperature; body temperature monitoring; brain artery; brain infarction; breathing; breathing rate; capnography; case report; electrocardiogram; endotracheal intubation; evening dosage; eyelid reflex; face mask; female; gene sequence; glucose blood level; grand mal seizure; headache; hearing; heart index; heart rate; human; hyperglycemia; hyponatremia; insulin dependent diabetes mellitus; intravenous anesthesia; invasive procedure; laparoscopic surgery; lung compliance; lung ventilation; lung volume; magnetic resonance angiography; MELAS syndrome; metabolic acidosis; morning dosage; nausea; nerve stimulation; nuclear magnetic resonance imaging; operating room; operation duration; patient monitoring; peritoneum; physical examination; polymerase chain reaction; postoperative nausea and vomiting; preoperative treatment; radial artery; recovery room; sodium blood level; spirometer; spirometry; temporal lobe; ulnar nerve; unconsciousness; vomiting; warming
- 제목
- Total intravenous anesthesia with propofol and remifentanil in a patient with MELAS syndrome -A case report
- 제목 (타언어)
- Total intravenous anesthesia with propofol and remifentanil in a patient with MELAS syndrome -A case report-
- 저자
- Park, J.S.; Baek, C.W.; Kang, H.; Cha, S.M.; Park, J.W.; Jung, Y.H.; Woo, Y.-C.
- 발행일
- 2010-04
- 유형
- Article
- 권
- 58
- 호
- 4
- 페이지
- 409 ~ 412
- 언어
- ENG
- 출판사
- 대한마취통증의학회
- 발행국가
- 대한민국
- 분량
- 4 페이지
- ISSN
- E 2005-7563
P 2005-6419