Anesthetic management for a patient with multiple sclerosis at exacerbation stage under general anesthesia

Koichi Yamashita, Takeshi Yokoyama, Hirofumi Tokai, Yasuhiro Imazu, Masakazu Lee, Masanobu Manabe

研究成果: Contribution to journalArticle査読

12 被引用数 (Scopus)

抄録

A 39-year-old woman with multiple sclerosis (MS) at exacerbation stage underwent dilatation and curettage. MS is characterized by chronic inflammation, demyelination, and gliosis in the central nervous system. Surgical stress often induces exacerbation of MS symptoms. Therefore, deep anesthesia is required for anesthetic management in cases of MS. We monitored electroencephalograph (EEG), spectral edge frequency 90 (SEF 90), spectral median frequency (SMF) and δ-amplitude for depth of anesthesia using pEEG™ (Dräger, Germany). In this case, anesthesia was induced with sevoflurane and gradually increased to 5% in oxygen 4 l · min-1 and maintained with sevoflurane 2-3% in 2 nitrous oxide l · min-1 and 2 l · min-1 oxygen. Surgery was completed and no spike wave was observed by pEEG™ monitoring during surgery. In conclusion, sevoflurane anesthesia was useful for a patient with MS during exacerbation stage.

本文言語英語
ページ(範囲)521-523
ページ数3
ジャーナルJapanese Journal of Anesthesiology
52
5
出版ステータス出版済み - 5 1 2003
外部発表はい

All Science Journal Classification (ASJC) codes

  • 麻酔学および疼痛医療

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