Anesthetic Management for a Patient with Inclusion Body Myositis
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- NAKANO Noriyuki
- Department of Anesthesiology, Tsukuba University Hospital
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- SATSUMAE Tsuyoshi
- Department of Anesthesiology, Faculty of Medicine, University of Tsukuba
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- MIZUTANI Taro
- Department of Emergency and Critical Care Medicine, University of Tsukuba
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- KIMURA Maiko
- Department of Anesthesiology, Tsukuba University Hospital
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- TOKUWAKA Junko
- Department of Anesthesiology, Tsukuba University Hospital
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- TANAKA Makoto
- Department of Anesthesiology, Faculty of Medicine, University of Tsukuba
Bibliographic Information
- Other Title
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- 封入体筋炎患者の麻酔管理
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Abstract
Few reports have described anesthetic management for inclusion body myositis (IBM). A 76-year-old man suffering from dysphagia due to IBM underwent jejunostomy under general and epidural anesthesia. The trachea was intubated without using a muscle relaxant. The surgery was completed uneventfully. After confirming full recovery of spontaneous breathing, the trachea was extubated and he was transferred to the ward. On postoperative day 2, the patient developed aspiration pneumonia, which was successfully treated using antibiotics. Considering both this experience and previous case reports of inflammatory myopathies, we recommend using a non-depolarizing muscle relaxant during tracheal intubation. Intubation under stable conditions using these drugs may reduce the risk of aspiration during the procedure, thus minimizing the risk of postoperative pneumonia. Promotion of deep breathing and effective coughing by adequate postoperative analgesia, as well as prevention of aspiration pneumonia appear important in patients with IBM.
Journal
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- THE JOURNAL OF JAPAN SOCIETY FOR CLINICAL ANESTHESIA
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THE JOURNAL OF JAPAN SOCIETY FOR CLINICAL ANESTHESIA 32 (5), 809-813, 2012
THE JAPAN SOCIETY FOR CLINICAL ANESTHESIA
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Details 詳細情報について
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- CRID
- 1390001204757848064
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- NII Article ID
- 10031074307
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- NII Book ID
- AN00330159
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- ISSN
- 13499149
- 02854945
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- Text Lang
- ja
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- Data Source
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- JaLC
- Crossref
- CiNii Articles
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- Abstract License Flag
- Disallowed