Anaesthesia for a patient with Friedreich’s ataxia undergoing emergency tibia interlocking nail insertion | ||||
| Egyptian Journal of Anaesthesia | ||||
| Volume 38, Issue 1, December 2022, Page 324-325 PDF (190.86 K) | ||||
| DOI: TEJA-2021-0078 | ||||
 View on SCiNiTO | ||||
| Author | ||||
| Haitham Hassan | ||||
| Abstract | ||||
| Although being rare, Friedreich's ataxia is the most common inherited ataxia. Friedreich's ataxia causes muscle weakness, dysarthria, scoliosis and cardiac symptoms which can cause even death. These are challenging to the anaesthetist and even gets worse with the progression of the disease. Patients are sensitive to non-depolarising muscle relaxants and even regional anesthesia can be difficult due to scoliosis with also medicolegal risk. This is a case report of a 36-year-old wheel-chaired man with Friedreich’s ataxia, who underwent a right interlocking nail tibia insertion for tibia fracture. General anaesthesia with laryngeal mask airway without muscle relaxant was used and SIMV mode was the ventilation mode of choice. The patient recovery was smooth with no pain and he was transferred to the ward after 1 h in the recovery room. | ||||
| Keywords | ||||
| Ataxia; Friedreich’s; Weakness; Cardiac; Scoliosis | ||||
|
Statistics Article View: 48 PDF Download: 16 |
||||
