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Korean Journal of Anesthesiology 2007;53(6):803-805.
DOI: https://doi.org/10.4097/kjae.2007.53.6.803   
Intravenous Anesthesia in Spinal Muscular Atrophy: A case report.
Yun Hee Choi, Mijeung Gwak, Yoon Kyung Lee, Yu Mi Lee, Dong Ho Lee
Department of Anesthesiology and Pain Medicine, Asan Medical Center, University of Ulsan Colleage of Medicine, Seoul, Korea. mjgwak@amc.seoul.kr
Abstract
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.
Key Words: intravenous anesthesia; muscle relaxants; spinal muscular atrophy


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