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KMID : 0356920080550010124
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Korean Journal of Anesthesiology
2008 Volume.55 No. 1 p.124 ~ p.127
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General anesthesia for laparoscopic cholecystectomy in a patient with Kennedy’s disease - A case report -
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Kim Jang-Hyun
Hwang Jung-Won
So Yun-Mi
Ryu Jung-Hee
Jeon Young-Tae
Do Sang-Hwan
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Abstract
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Kennedy’s disease is a rare lower motor neuron disease affecting the limbs and bulbar musculature. Regional anesthesia is generally the recommended anesthetic technique in patients with Kennedy’s disease because of bulbar involvement and airway clearing disturbance. We administered general anesthesia in a patient with Kennedy’s disease who was undergoing a laparoscopic cholecystectomy. We closely monitored the degree of neuromuscular blockade throughout the operation and injected atracurium on demand. There was no exacerbation of neurologic signs or symptoms postoperatively. Therefore, we report the successful administration of general anesthesia for laparoscopic cholecystectomy in a patient with Kennedy’s disease.
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KEYWORD
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general anesthesia, Kennedy’s disease, laparoscopic cholecystectomy, lower motor neuron disease
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