Anesthetic Management of a Patient with Motor-sensory polyneuropathy

Demiröz, Duygu; Erdogan, Mehmet Ali; UÇAR, Muharrem; Durmuş, Mahmut; ÖZGÜL, Ülkü

Anesthetic Management of a Patient with Motor-sensory polyneuropathy

Mehmet Ali ERDOĞAN, (Inonu University Faculty of Medicine, Department of Anesthesiology and Reanimation, Malatya, Turkey)

Muharrem UÇAR, (Inonu University Faculty of Medicine, Department of Anesthesiology and Reanimation, Malatya, Turkey)

Ülkü ÖZGÜL, (Inonu University Faculty of Medicine, Department of Anesthesiology and Reanimation, Malatya, Turkey)

Duygu DEMİRÖZ, (Inonu University Faculty of Medicine, Department of Anesthesiology and Reanimation, Malatya, Turkey)

Mahmut DURMUŞ (Inonu University Faculty of Medicine, Department of Anesthesiology and Reanimation, Malatya, Turkey)

Medicine Science

9 1

Yıl: 2016 Cilt: 5 Sayı: 3 Sayfa Aralığı: 884 - 888 Metin Dili: Türkçe İndeks Tarihi: 29-07-2022

Anesthetic Management of a Patient with Motor-sensory polyneuropathy

Öz:

Polinöropati, yaygın aksonal dejenerasyon veya multifokal segmental demiyelinizasyonla seyreden ve genellikle periferik sinirleri tutan nöropatidir. Kas kuvvetsizliği, atrofi, fasikülasyon, solunum kaslarının tutulumuyla solunum yetmezliğine neden olabilir. Polinöropatili hastaların; artmış malign hipertermi riski, solunum kaslarının tutulmasıyla ekstübasyon sonunda gelişebilecek potansiyel hava yolu sorunları, nondepolarizan kas gevşeticilerin uzamış etki süresi ve nöroaksiyel blokların kullanılmasının tartışmalı olması anestezi yönetimini önemli kılmaktadır. Bu sunuda skolyoz nedeniyle posteriyor enstrümantasyon planlanan demiyelinizan ağırlıklı motor-duyu polinöropatili olguya nöromuskuler bloker kullanmadan uyguladığımız genel anestezi yönetimini aktarmayı amaçladık

Anahtar Kelime:

Konular: Genel ve Dahili Tıp

Motor-Duyu Polinöropatili Olguda Anestezi Yönetimi

Öz:

Polyneuropathy that characterized by diffuse axonal degeneration or multifocal segmental demyelination is neuropathy and usually influence peripheral nerves. It can lead to respiratory failure with muscle weakness, atrophy, fasciculations, and the involvement of the respiratory muscles. Increased risk of malignant hyperthermia, potential airway problems that may develop after extubation with effected the respiratory muscles, prolonged duration of recovery from non-depolarizing neuromuscular blockade, the discussion of the used neuraxial anesthesia makes anesthesia management important in patient with polyneuropathy. In this presentation aimed to provide general anesthesia management without neuromuscular blockade a patient with motor-sensory polyneuropathy mainly demyelinating who underwent posterior instrumentation due to scoliosis

Anahtar Kelime:

Konular: Genel ve Dahili Tıp

Belge Türü: Makale Makale Türü: Olgu Sunumu Erişim Türü: Erişime Açık

1. England JD, Gronseth GS, Franklin G, Miller RG, Asbury AK, Carter GT, Cohen JA, Fisher MA, Howard JF, Kinsella LJ, Latov N, Lewis RA, Low PA, Sumner AJ; American Academy of Neurology; American Association of Electrodiagnostic Medicine; American Academy of Physical Medicine and Rehabilitation. Distal symmetric polyneuropathy: a definition for clinical research: report of the American Academy of Neurology, the American Association of Electrodiagnostic Medicine, and the American Academy of Physical Medicine and Rehabilitation. Neurology. 2005;64(2):199-207.
2. Rocha JA, Reis C, Simões F, Fonseca J, Mendes Ribeiro J. Diagnostic investigation and multidisciplinary management in motorneuron disease. J Neurol. 2005;252(12): 1435-47.
3. Morgan GE, Mikhail MS, Murray MJ. Clinical Anesthesiology. 4. baskı. Güneş Tıp Kitabevleri, İstanbul, 2005;817-25.
4. Hughes RAC. Peripheral neuropathy. Brit Med J. 2002;324(7335):466-9.
5. Hebl JR, Kopp SL, Schroeder DR, Horlocker TT. Neurologic complications after neuraxial anesthesia or analgesia in patients with preexisting peripheral sensorimotor neuropathy or diabetic polyneuropathy. Anesth Analg. 2006;103(5):1294-9.
6. Ergenoğlu P, Akın Ş, Bozdoğan N, Eker E,Yalçın Çok O, Ülger H, Arıboğan A. Motor Nöron Hastalığı Ve Eş Zamanlı Polinöropatisi Olan Hastada Anestezik Yaklaşım. Olgu Sunumu. Anestezi Dergisi. 2011;19(1):62-5.
7. Schabel JE. Subarachnoid block for a patient with progressive chronic inflammatory demyelinating polyneuropathy. Anesth Analg. 2001;93(5):1304-6.
8. Richter T, Langer KA, Koch T. Spinal anesthesia for cesarean section in a patient with chronic inflammatory demyelinating polyradiculoneuropathy. J Anesth. 2012;26(2):280-2.
9. Martyn JAJ, Richtsfeld M. Succinylcholine-induced hyperkalemia in acquired pathologic states: etiologic factors and molecular mechanisms. Anesthesiology. 2006;104(1):158-69.
10. del-Rio-Vellosillo M, Martin-Gil-Parra R, Garcia-Medina JJ. Anesthetic considerations for Cesarean section in a parturient with Charcot-Marie-Tooth disease and HELLP syndrome. J Clin Anesth. 2014;26(3):251-2.
11. Richter T, Langer KA, Koch T. Spinal anesthesia for cesarean section in a patient with chronic inflammatory demyelinating polyradiculoneuropathy. J Anesth. 2012;26(2):280-2.
12. Shankar V, Markan S, Gandhi SD, Iqbal Z, Novalija J, Nicolosi AC, Pagel PS. Perioperative implications of charcot-marie-tooth disease during coronary artery bypass graft surgery. J Cardiothorac Vasc Anesth. 2007;21(4):567-9.
13. Antognini JF. Anesthetic management in Charcot-Marie-Tooth disease. Anesth Analg. 1992;75(2):313.

APA	Erdogan M, UÇAR M, ÖZGÜL Ü, Demiröz D, Durmuş M (2016). Anesthetic Management of a Patient with Motor-sensory polyneuropathy. , 884 - 888.
Chicago	Erdogan Mehmet Ali,UÇAR Muharrem,ÖZGÜL Ülkü,Demiröz Duygu,Durmuş Mahmut Anesthetic Management of a Patient with Motor-sensory polyneuropathy. (2016): 884 - 888.
MLA	Erdogan Mehmet Ali,UÇAR Muharrem,ÖZGÜL Ülkü,Demiröz Duygu,Durmuş Mahmut Anesthetic Management of a Patient with Motor-sensory polyneuropathy. , 2016, ss.884 - 888.
AMA	Erdogan M,UÇAR M,ÖZGÜL Ü,Demiröz D,Durmuş M Anesthetic Management of a Patient with Motor-sensory polyneuropathy. . 2016; 884 - 888.
Vancouver	Erdogan M,UÇAR M,ÖZGÜL Ü,Demiröz D,Durmuş M Anesthetic Management of a Patient with Motor-sensory polyneuropathy. . 2016; 884 - 888.
IEEE	Erdogan M,UÇAR M,ÖZGÜL Ü,Demiröz D,Durmuş M "Anesthetic Management of a Patient with Motor-sensory polyneuropathy." , ss.884 - 888, 2016.
ISNAD	Erdogan, Mehmet Ali vd. "Anesthetic Management of a Patient with Motor-sensory polyneuropathy". (2016), 884-888.

APA	Erdogan M, UÇAR M, ÖZGÜL Ü, Demiröz D, Durmuş M (2016). Anesthetic Management of a Patient with Motor-sensory polyneuropathy. Medicine Science, 5(3), 884 - 888.
Chicago	Erdogan Mehmet Ali,UÇAR Muharrem,ÖZGÜL Ülkü,Demiröz Duygu,Durmuş Mahmut Anesthetic Management of a Patient with Motor-sensory polyneuropathy. Medicine Science 5, no.3 (2016): 884 - 888.
MLA	Erdogan Mehmet Ali,UÇAR Muharrem,ÖZGÜL Ülkü,Demiröz Duygu,Durmuş Mahmut Anesthetic Management of a Patient with Motor-sensory polyneuropathy. Medicine Science, vol.5, no.3, 2016, ss.884 - 888.
AMA	Erdogan M,UÇAR M,ÖZGÜL Ü,Demiröz D,Durmuş M Anesthetic Management of a Patient with Motor-sensory polyneuropathy. Medicine Science. 2016; 5(3): 884 - 888.
Vancouver	Erdogan M,UÇAR M,ÖZGÜL Ü,Demiröz D,Durmuş M Anesthetic Management of a Patient with Motor-sensory polyneuropathy. Medicine Science. 2016; 5(3): 884 - 888.
IEEE	Erdogan M,UÇAR M,ÖZGÜL Ü,Demiröz D,Durmuş M "Anesthetic Management of a Patient with Motor-sensory polyneuropathy." Medicine Science, 5, ss.884 - 888, 2016.
ISNAD	Erdogan, Mehmet Ali vd. "Anesthetic Management of a Patient with Motor-sensory polyneuropathy". Medicine Science 5/3 (2016), 884-888.