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KMID : 0356920070530020238
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Korean Journal of Anesthesiology
2007 Volume.53 No. 2 p.238 ~ p.241
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Total Intravenous Anesthesia using Bispectral Index for Transvaginal Uterine Myomectomy in a Patient with Myotonic Dystrophy
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Lee Hae-Jin
Chon Jin-Young
Hwang Su-Jin
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Abstract
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We report a patient with myotonic dystrophy, who underwent a transvaginal uterine myomectomy. Anaesthesia was induced and maintained with remifentanil and the target-controlled infusion of propofol titrated according to the bispectral index (BIS). A ProSeal laryngeal mask airway (PLMA) was inserted, and mechanical ventilation was performed without a muscle relaxant. The time from the end of anaesthesia to the patient-awakening was approximately 8 minutes. The rapid offset of the action of remifentanil and low-dose propofol facilitated early recovery without respiratory complications. The total intravenous anaesthesia using the BIS and the PLMA without a muscle relaxant is a useful anaesthetic technique in myotonic dystrophy patients
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KEYWORD
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bispectral index, myotonic dystrophy, propofol, ProSeal laryngeal mask airway, remifentanil, uterine myomectomy
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