Revista de la Sociedad Española del Dolor
ISSN 1134-8046
PEREZ-FERRER, A. et al. Complete motor blockade with epidural ropivacaine in the post-operative of a patient with Duchenne muscular dystrophy. []. , 12, 1, pp.46-49. ISSN 1134-8046.
Patients with Duchenne muscular dystrophy present a high risk of anesthetic complications. Very few cases have been described of epidural anesthesia in this condition. We present a case of combined anesthesia (IV propofol and remifentanyl plus epidural ropivacaine) for a traumatological surgery. There were no intraoperatory complications, but the patient developed a complete post-operative motor blockade in response to the administration of ropivacaine 0.18% with continuous epidural perfusion. A potential increase of the sensitivity to local anesthetics as the explanation of the motor blockade in this patient is discussed.
: Duchenne muscular dystrophy; Anesthesia; Post-operative complications; Epidural analgesia; Ropivacaine.