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General anesthesia for adults with mitochondrial myopathy

Sau Yee Chow1, Kwee Lian Woon

  • 1From the *Singhealth Anaesthesiology Residency Program, Department of Anaesthesia and Surgical Intensive Care, Changi General Hospital, Singapore, Singapore; and †Department of Anaesthesia and Surgical Intensive Care, Changi General Hospital, Singapore, Singapore.

A & a Case Reports
|March 3, 2015
PubMed

We report the case of a 59-year-old woman with mitochondrial myopathy who underwent elective laparoscopic cholecystectomy and hemorrhoidectomy, and we review the literature discussing general anesthesia for adults with mitochondrial myopathy. Our management technique avoids neuromuscular-blocking drugs and uses a modified awake intubation method not previously described in such patients. We hope to improve patient safety by discussing evidence-based anesthetic concerns and complications specific to these uncommon patients and aid practitioners in devising a suitable anesthetic plan.

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