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KMID : 0356920070530060803
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Korean Journal of Anesthesiology
2007 Volume.53 No. 6 p.803 ~ p.805
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Intravenous Anesthesia in Spinal Muscular Atrophy - A case report -
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Choi Yun-Hee
Gwak Mi-Jeung
Lee Yoon-Kyung
Lee Yu-Mi
Lee Dong-Ho
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Abstract
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Spinal muscular atrophy (SMA) is a rare lower motor neuron disease in which anesthetic management is often difficult, because the patients usually have muscle weakness and hypersensitivity to muscle relaxants. We describe the anesthesia for a 8 year-old girl with type II SMA who presented for a lower lid epiblepharon repair. We chose to use intravenous anesthesia based on propofol and remifentanil without any muscle relaxants. The peri-operative course was completely uneventful. We consider that intravenous anesthesia without muscle relaxants could be a good anesthetic choice for a patient with SMA undering general anesthesia.
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KEYWORD
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intravenous anesthesia, muscle relaxants, spinal muscular atrophy
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