TY - JOUR
TI - Anesthetic management of a patient with charcot-marie-tooth disease for 2-stage revision of total knee replacement
AU - Soulioti, E.
AU - Kavezou, F.
AU - Efstathiou, G.
AU - Batistaki, C.
AU - Karakosta, A.
AU - Kostopanagiotou, G.
JO - Turkish Journal of Anaesthesiology and Reanimation
PY - 2021
VL - 49
TODO - 2
SP - 178-180
PB - AVES Publishing Co.
SN - null
TODO - 10.5152/TJAR.2021.513
TODO - null
TODO - Charcot-Marie-Tooth disease is characterised by hereditary motor and sensory neuropathy. Its anaesthetic management is challenging owing to the unpredictable response observed in patients, especially to non-depolarising neuromuscular blocking drugs, and the risk of malignant hyperthermia and cardiorespiratory complications. A 66-year-old woman underwent anaesthesia for 2 different surgical pro-cedures, a 2-stage revision of total knee replacement over a 4-month period. She presented with severe anatomic disorders, accompanied by severe motor and sensory impairment. An anaesthetic plan without neuromuscular blocking drugs or volatile anaesthetics, using a clean ventilator, with dantrolene available, was successfully used both times. There were no complications during the administration of general anaesthesia or postoperatively at the post-anaesthesia care unit, and the patient did not complain of pain at any time. General anaesthesia with a careful selection of anaesthetic drugs proved to be a safe option for the management of a patient with Charcot-Ma-rie-Tooth disease. © 2021 by Turkish Society of Anaesthesiology and Reanimation-Available online at www.jtaics.org.
ER -