Volume : VI, Issue : XII, December - 2016

Role of anesthesiologist in an unanticipated anesthetic challenge in a day care procedure

Vinodmon Thachil, Mirza M. R, Murali Shankar

Abstract :

 Introduction: Mitochondrial respiratory chain disorder account for significant and varied presentations in paediatric practice. There are many metabolic stressors that can lead to de–compensation in patients with mitochondrial disease. Mitochondrial cytopathy is caused by defect in electron transport chain, causing inability to synthesize ATP. MATERIAL AND METHODS: This case report is of 10 year old male posted for PEG who underwent upper GI scopy under local anaesthesia who have been suspected to have mitochondrial cytopathy with status dystonicus based on MRI ain findings. He was given 2 puffs of 2% lignocaine for upper GI scopy before procedure after which he became drowsy and started to desaturate. According to emergency protocol he was mask ventilated with 100% oxygen with JRC circuit and procedure was completed with 2% sevoflurane and DNS as maintenance fluid in 30 min. The procedure went uneventful and recovered completely from anaesthesia. RESULTS AND DISCUSSION: Intra–operative and postoperative events were uneventful. Analgesic such as lignocaine can affect electron transport chain and affect the production of ATP in these kind of patient. So it is better to avoid the usage of lignocaine as analgesic in patients with mitochondrial cytopathy.

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Article: Download PDF   DOI : 10.36106/ijar  

Cite This Article:

Vinodmon thachil, Mirza m.r, Murali Shankar, Role of anesthesiologist in an unanticipated anesthetic challenge in a day care procedure, Indian Journal of Applied Research,Volume : 6 | Issue : 12 | December 2016

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