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Case Report

Anesthetic management in a patient with Friedreich’s Ataxia: a different approach

Sedat Akbas, Erol Toy, Ahmet Selim Ozkan

   

Abstract
Friedreich’s Ataxia (FA) is a rare autosomal recessive disease. FA is clinically characterized by progressive ataxia, especially loss of reflex and power in the lower extremities, spasticity and loss of proprioceptive sensory. There is an increased sensitivity to non-depolarizing muscle relaxants in neurodegenerative diseases. Care must be taken of anesthesia management for the use of volatile anesthetics and muscle relaxants, and precautions should be taken for difficult airway management which is due to secondary to kyphoscoliosis and comorbidities. In this case, anesthesia management of emergency operation for septal hematoma by TIVA without using of muscle relaxants and minimalized hemodynamic response depending on the intubation by videolaryngoscope were presented.

Key words: Friedreich’s Ataxia, anesthesia management, neuromuscular blockade, videolaryngoscope

Med-Science. 2017; 6(1): 109-10

 
Medicine Science Vol:6 Issue:1 Year:2017 PP:1-181
Posted in Vol: 6 Issue: 1 Year: 2017 March pp: 1–181

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