Related Experiment Video
Updated: Aug 6, 2026

Deep Neuromuscular Blockade Leads to a Larger Intraabdominal Volume During Laparoscopy
Published on: June 25, 2013
General Anesthetic Management for Laparoscopic Appendectomy in a Patient With Myotonia Congenita: A Case Report
1Nurse anesthetist with Kettering Health in Dayton, Ohio, and an adjunct faculty member at Wright State University, Dayton, Ohio.
Abstract:
A 57-year-old man with myotonia congenita underwent elective laparoscopic appendectomy after perforated appendicitis treated with two drainages. Quadratus lumborum blocks were preoperatively placed bilaterally under ultrasound guidance. Anesthetic gases and succinylcholine were avoided, and total intravenous anesthesia was used for maintenance. Neuromuscular blockade was minimized and reversed with sugammadex. The operative course was uneventful. In the postanesthesia care unit, the patient reported a pain level of zero throughout his stay, required no opioids, and was discharged the same day with unremarkable surgical follow-up.
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