Department of Anesthesia, Alcorcon Foundation, University Hospital, Madrid, Spain
Dr. Anna Grzanka is working as Professor in Department of Anesthesia, Children’s Hospital, Nino Jesus University, Madrid, Spain. Dr. Anna Grzanka had many publications in various national, international and index journals and also serves as Editorial board member and reviewer for many international professional journals.
Review Article
Review of Anesthetic Management of Myotonic Dystrophy and A Case Report of Sedation with Dexmedetomidine
Author(s): Elena Garcia-Fernandez*, Anna Grzanka, Pablo Redondo-Martinez, Maria Dolores Pato-Rodriguez and Ernesto Martinez-Garcia
15 year-old male patient, with Steinert’s Desease, was proposed for orthopedic surgery in left foot. He was sedated by continous
perfusión of dexmedetomidine and an ultrasound-guided popliteal block was performed. The level of sedation achieved was
adequate, without observing further adverse effects except of bradycardia with initial bolus. Dexmedetomidine was proved
to be useful in this case; however, use of the drug should be carefully started at a low initial dose in patients with myotonic
dystrophy. We also have reviewed the recent cases-report in patients with DM in past 15 years with a descriptive analysis. .. View more»