Combined general and epidural anesthesia for major abdominal surgery in a patient with Pompe disease
We present a case of combined general anesthesia with muscle relaxant and epidural analgesia for hemicolectomy in a 56-year-old woman with Pompe disease. Progressive pulmonary function loss predisposes Pompe disease patients to an increased risk of aspiration pneumonia, atelectasis, and all pulmonar...
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| Veröffentlicht in: | Journal of anesthesia 2010-10, Vol.24 (5), p.768-773 |
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| container_issue | 5 |
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| container_title | Journal of anesthesia |
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| creator | Kim, Won Sung Cho, Ah Reum Hong, Jung Min Kim, Eun Soo Park, Sung Chun Yoon, Ji Young Kim, Tae Kyun |
| description | We present a case of combined general anesthesia with muscle relaxant and epidural analgesia for hemicolectomy in a 56-year-old woman with Pompe disease. Progressive pulmonary function loss predisposes Pompe disease patients to an increased risk of aspiration pneumonia, atelectasis, and all pulmonary infections. Given the impaired cough resulting from abdominal muscle weakness, patients with Pompe disease who undergo abdominal major surgery are prone to great risks of postoperative pulmonary complications. In our case, to optimize the patient’s pulmonary toilet during the postoperative period, epidural block was provided as well as general anesthesia. Although she had a severe scoliotic spine and a worst pulmonary function test, the attempt of epidural block provided excellent pain control and pulmonary toilet care. |
| doi_str_mv | 10.1007/s00540-010-0984-4 |
| format | Article |
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Progressive pulmonary function loss predisposes Pompe disease patients to an increased risk of aspiration pneumonia, atelectasis, and all pulmonary infections. Given the impaired cough resulting from abdominal muscle weakness, patients with Pompe disease who undergo abdominal major surgery are prone to great risks of postoperative pulmonary complications. In our case, to optimize the patient’s pulmonary toilet during the postoperative period, epidural block was provided as well as general anesthesia. 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Progressive pulmonary function loss predisposes Pompe disease patients to an increased risk of aspiration pneumonia, atelectasis, and all pulmonary infections. Given the impaired cough resulting from abdominal muscle weakness, patients with Pompe disease who undergo abdominal major surgery are prone to great risks of postoperative pulmonary complications. In our case, to optimize the patient’s pulmonary toilet during the postoperative period, epidural block was provided as well as general anesthesia. Although she had a severe scoliotic spine and a worst pulmonary function test, the attempt of epidural block provided excellent pain control and pulmonary toilet care.</description><subject>Abdomen - surgery</subject><subject>Anesthesia</subject><subject>Anesthesia, Epidural</subject><subject>Anesthesia, General</subject><subject>Anesthesiology</subject><subject>Bacterial pneumonia</subject><subject>Blood Gas Analysis</subject><subject>Blood Glucose - metabolism</subject><subject>Body Temperature - physiology</subject><subject>Cardiotonic Agents - therapeutic use</subject><subject>Clinical Report</subject><subject>Colectomy</subject><subject>Colonic Neoplasms - surgery</subject><subject>Critical Care Medicine</subject><subject>Dopamine - therapeutic use</subject><subject>Emergency Medicine</subject><subject>Female</subject><subject>Glycogen Storage Disease Type II - complications</subject><subject>Glycogen Storage Disease Type II - diagnostic imaging</subject><subject>Health aspects</subject><subject>Hemodynamics - physiology</subject><subject>Humans</subject><subject>Intensive</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Middle Aged</subject><subject>Pain Medicine</subject><subject>Pneumonia</subject><subject>Pulmonary function tests</subject><subject>Radiography</subject><subject>Respiratory Function Tests</subject><issn>0913-8668</issn><issn>1438-8359</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2010</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNkk1r3DAQhkVpabZpf0AvRdBDT04lS7KlY1j6BYH20J6FLI03WmzJlWxK_n1kvC0pLCEIfc4zM5rhRegtJVeUkPZjJkRwUhFappK84s_QjnImK8mEeo52RFFWyaaRF-hVzkdCSEMpe4ku6nJoOW92yO3j2PkADh8gQDIDNsFhmLxbtgvk-RayN7iPCY_mWFbTuTj6UMx5SQdId9gHbPBkZg9hxn_8fIt_xHEC7HwGk-E1etGbIcOb036Jfn3-9HP_tbr5_uXb_vqmsg1Xc0Vt1xPhrLVEKOZsza0VnFtGO8va1WJoC1bUstRU91wZRgXpeC87o1Tdskv0YYs7pfh7KT_Xo88WhqGUEZesW9FSSQhvCvl-Iw9mAO1DH-dk7Err66ZmSghJyaMUEw3nQvKVqs5Qp3bGAL0vz_9FfQr_MP7VGb4MB6O3ZxM8yeFhBro52BRzTtDrKfnRpDtNiV6Vpjel6aI0vSpN8-Lz7tTrpRvB_fP4K60C1BuQiykUmehjXFJRTX4k6j26kNqm</recordid><startdate>20101001</startdate><enddate>20101001</enddate><creator>Kim, Won Sung</creator><creator>Cho, Ah Reum</creator><creator>Hong, Jung Min</creator><creator>Kim, Eun Soo</creator><creator>Park, Sung Chun</creator><creator>Yoon, Ji Young</creator><creator>Kim, Tae Kyun</creator><general>Springer Japan</general><general>Springer</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20101001</creationdate><title>Combined general and epidural anesthesia for major abdominal surgery in a patient with Pompe disease</title><author>Kim, Won Sung ; Cho, Ah Reum ; Hong, Jung Min ; Kim, Eun Soo ; Park, Sung Chun ; Yoon, Ji Young ; Kim, Tae Kyun</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c649t-1cbf05dccc0593dc24cc544c31bc3705dca17ec5288662f49a3150b4f8ba99273</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2010</creationdate><topic>Abdomen - surgery</topic><topic>Anesthesia</topic><topic>Anesthesia, Epidural</topic><topic>Anesthesia, General</topic><topic>Anesthesiology</topic><topic>Bacterial pneumonia</topic><topic>Blood Gas Analysis</topic><topic>Blood Glucose - metabolism</topic><topic>Body Temperature - physiology</topic><topic>Cardiotonic Agents - therapeutic use</topic><topic>Clinical Report</topic><topic>Colectomy</topic><topic>Colonic Neoplasms - surgery</topic><topic>Critical Care Medicine</topic><topic>Dopamine - therapeutic use</topic><topic>Emergency Medicine</topic><topic>Female</topic><topic>Glycogen Storage Disease Type II - complications</topic><topic>Glycogen Storage Disease Type II - diagnostic imaging</topic><topic>Health aspects</topic><topic>Hemodynamics - physiology</topic><topic>Humans</topic><topic>Intensive</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Middle Aged</topic><topic>Pain Medicine</topic><topic>Pneumonia</topic><topic>Pulmonary function tests</topic><topic>Radiography</topic><topic>Respiratory Function Tests</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Kim, Won Sung</creatorcontrib><creatorcontrib>Cho, Ah Reum</creatorcontrib><creatorcontrib>Hong, Jung Min</creatorcontrib><creatorcontrib>Kim, Eun Soo</creatorcontrib><creatorcontrib>Park, Sung Chun</creatorcontrib><creatorcontrib>Yoon, Ji Young</creatorcontrib><creatorcontrib>Kim, Tae Kyun</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of anesthesia</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Kim, Won Sung</au><au>Cho, Ah Reum</au><au>Hong, Jung Min</au><au>Kim, Eun Soo</au><au>Park, Sung Chun</au><au>Yoon, Ji Young</au><au>Kim, Tae Kyun</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Combined general and epidural anesthesia for major abdominal surgery in a patient with Pompe disease</atitle><jtitle>Journal of anesthesia</jtitle><stitle>J Anesth</stitle><addtitle>J Anesth</addtitle><date>2010-10-01</date><risdate>2010</risdate><volume>24</volume><issue>5</issue><spage>768</spage><epage>773</epage><pages>768-773</pages><issn>0913-8668</issn><eissn>1438-8359</eissn><abstract>We present a case of combined general anesthesia with muscle relaxant and epidural analgesia for hemicolectomy in a 56-year-old woman with Pompe disease. Progressive pulmonary function loss predisposes Pompe disease patients to an increased risk of aspiration pneumonia, atelectasis, and all pulmonary infections. Given the impaired cough resulting from abdominal muscle weakness, patients with Pompe disease who undergo abdominal major surgery are prone to great risks of postoperative pulmonary complications. In our case, to optimize the patient’s pulmonary toilet during the postoperative period, epidural block was provided as well as general anesthesia. Although she had a severe scoliotic spine and a worst pulmonary function test, the attempt of epidural block provided excellent pain control and pulmonary toilet care.</abstract><cop>Japan</cop><pub>Springer Japan</pub><pmid>20617446</pmid><doi>10.1007/s00540-010-0984-4</doi><tpages>6</tpages><oa>free_for_read</oa></addata></record> |
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| subjects | Abdomen - surgery Anesthesia Anesthesia, Epidural Anesthesia, General Anesthesiology Bacterial pneumonia Blood Gas Analysis Blood Glucose - metabolism Body Temperature - physiology Cardiotonic Agents - therapeutic use Clinical Report Colectomy Colonic Neoplasms - surgery Critical Care Medicine Dopamine - therapeutic use Emergency Medicine Female Glycogen Storage Disease Type II - complications Glycogen Storage Disease Type II - diagnostic imaging Health aspects Hemodynamics - physiology Humans Intensive Medicine Medicine & Public Health Middle Aged Pain Medicine Pneumonia Pulmonary function tests Radiography Respiratory Function Tests |
| title | Combined general and epidural anesthesia for major abdominal surgery in a patient with Pompe disease |
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