General Anaesthesia for Laparoscopic Cholecystectomy in a Patient with the Kearns-Sayre Syndrome

We report a case of a 40-year-old man affected by the Kearns-Sayre syndrome who underwent an elective laparoscopic cholecystectomy under general anaesthesia. We describe the management of general anaesthesia in this rare myopathy, with emphasis on the use of rocuronium as muscle blocking agent. Indu...

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Main Authors: Paolo Calzavacca, Walter Schmidt, Manuela Guzzi
Format: Article
Language:English
Published: Wiley 2011-01-01
Series:Case Reports in Anesthesiology
Online Access:http://dx.doi.org/10.1155/2011/806086
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author Paolo Calzavacca
Walter Schmidt
Manuela Guzzi
author_facet Paolo Calzavacca
Walter Schmidt
Manuela Guzzi
author_sort Paolo Calzavacca
collection DOAJ
description We report a case of a 40-year-old man affected by the Kearns-Sayre syndrome who underwent an elective laparoscopic cholecystectomy under general anaesthesia. We describe the management of general anaesthesia in this rare myopathy, with emphasis on the use of rocuronium as muscle blocking agent. Induction was achieved with propofol and fentanyl, and general anaesthesia was maintained with fentanyl and sevoflurane/N2O/O2 mixture. The anaesthetic plan proved to be safe and effective, and extubation was achieved in the operating theatre. The postoperative recovery of the patient was satisfactory and uneventful.
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spelling doaj-art-c71d53f574944d888e85d7b941985fd12025-02-03T01:07:45ZengWileyCase Reports in Anesthesiology2090-63822090-63902011-01-01201110.1155/2011/806086806086General Anaesthesia for Laparoscopic Cholecystectomy in a Patient with the Kearns-Sayre SyndromePaolo Calzavacca0Walter Schmidt1Manuela Guzzi2Department of Anaesthesia and Intensive Care, AO Melegnano, PO Uboldo, 20063 Cernsuco sul Naviglio, ItalyDepartment of Anaesthesia and Intensive Care, AO Melegnano, PO Uboldo, 20063 Cernsuco sul Naviglio, ItalyDepartment of Anaesthesia and Intensive Care, AO Melegnano, PO Uboldo, 20063 Cernsuco sul Naviglio, ItalyWe report a case of a 40-year-old man affected by the Kearns-Sayre syndrome who underwent an elective laparoscopic cholecystectomy under general anaesthesia. We describe the management of general anaesthesia in this rare myopathy, with emphasis on the use of rocuronium as muscle blocking agent. Induction was achieved with propofol and fentanyl, and general anaesthesia was maintained with fentanyl and sevoflurane/N2O/O2 mixture. The anaesthetic plan proved to be safe and effective, and extubation was achieved in the operating theatre. The postoperative recovery of the patient was satisfactory and uneventful.http://dx.doi.org/10.1155/2011/806086
spellingShingle Paolo Calzavacca
Walter Schmidt
Manuela Guzzi
General Anaesthesia for Laparoscopic Cholecystectomy in a Patient with the Kearns-Sayre Syndrome
Case Reports in Anesthesiology
title General Anaesthesia for Laparoscopic Cholecystectomy in a Patient with the Kearns-Sayre Syndrome
title_full General Anaesthesia for Laparoscopic Cholecystectomy in a Patient with the Kearns-Sayre Syndrome
title_fullStr General Anaesthesia for Laparoscopic Cholecystectomy in a Patient with the Kearns-Sayre Syndrome
title_full_unstemmed General Anaesthesia for Laparoscopic Cholecystectomy in a Patient with the Kearns-Sayre Syndrome
title_short General Anaesthesia for Laparoscopic Cholecystectomy in a Patient with the Kearns-Sayre Syndrome
title_sort general anaesthesia for laparoscopic cholecystectomy in a patient with the kearns sayre syndrome
url http://dx.doi.org/10.1155/2011/806086
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AT walterschmidt generalanaesthesiaforlaparoscopiccholecystectomyinapatientwiththekearnssayresyndrome
AT manuelaguzzi generalanaesthesiaforlaparoscopiccholecystectomyinapatientwiththekearnssayresyndrome