Bloqueo motor completo con ropivacaína epidural en el postoperatorio de un paciente con distrofia muscular de Duchenne

• Autores: Antonio Pérez Ferrer, Elena Gredilla Díaz, Jesús de Vicente Sánchez, Francisco Reinoso Barbero, Javier García Fernández, Pilar Durán de la Fuente
• Localización: Revista de la Sociedad Española del Dolor (SED), ISSN 1134-8046, Vol. 12, Nº. 1, 2005, págs. 46-49
• Idioma: español
• Títulos paralelos:
  • Complete motor blockade with epidural ropivacaine in the post-operative of a patient with Duchenne muscular dystrophy
• Enlaces
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• Resumen
  • español

    Los pacientes afectos de distrofia muscular de Duchenne presentan un alto riesgo de complicaciones anestésicas. Se han descrito muy pocos casos de anestesia epidural en esta entidad. Presentamos un caso de anestesia combinada (propofol y remifentanilo intravenoso más ropivacaína epidural) para cirugía traumatológica, sin incidencias intraoperatorias, pero que en el postoperatorio presentó bloqueo motor completo en respuesta a la administración de ropivacaína 0,18% en perfusión epidural continua. Se discute la posibilidad de un aumento de sensibilidad a los anestésicos locales en cuanto a la producción de bloqueo motor en esta patología.

  • English

    Patients with Duchenne muscular dystrophy present a high risk of anesthetic complications. Very few cases have been described of epidural anesthesia in this condition. We present a case of combined anesthesia (IV propofol and remifentanyl plus epidural ropivacaine) for a traumatological surgery. There were no intraoperatory complications, but the patient developed a complete post-operative motor blockade in response to the administration of ropivacaine 0.18% with continuous epidural perfusion. A potential increase of the sensitivity to local anesthetics as the explanation of the motor blockade in this patient is discussed.

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