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Korean J Anesthesiol > Volume 55(2); 2008 > Article
Korean Journal of Anesthesiology 2008;55(2):250-253.
DOI: https://doi.org/10.4097/kjae.2008.55.2.250   
Anesthetic management with neuromuscular monitoring and bispectral index in an amyotrophic lateral sclerosis patient: A case report.
Moon Sun Bang, Jae Won Han, Ah Young Oh
Department of Anesthesiology and Pain Medicine, Seoul National University Bundang Hospital, Seoul National University College of Medicine, Seongnam, Korea. oay1@snubh.org
Abstract
Amyotrophic lateral sclerosis is a neurodegenerative disease caused by the degeneration of upper and lower motor neurons. The disorder causes muscle weakness and atrophy throughout the body. There is an unexpected response to depolarizing or nondepolarizing muscle relaxants, and risk of perioperative respiratory failure is high. Careful monitoring and minimal doses of anesthetics are needed. We report a case of general anesthesia in a patient with amyotrophic lateral sclerosis. We used proper doses of muscle relaxant and inhalation anesthetics with neuromuscular monitoring and bispectral index. The patient early recovered from anesthesia without any respiratory complications.
Key Words: amyotrophic lateral sclerosis; BIS; neuromuscular monitoring


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