ALS 환자의 전신 마취시 근이완과 BIS 감시 -증례보고

• Published in: Korean journal of anesthesiology Vol. 55; no. 2; pp. 250 - 253
• Main Authors: 방문선, Moon Sun Bang, 한재원, Jae Won Han, 오아영, Ah Young Oh
• Format: Journal Article
• Language: Korean
• Published: 대한마취통증의학회(구 대한마취과학회) 30.08.2008; 대한마취통증의학회
• Subjects: amyotrophic Lateral sclerosis; neuromuscular monitoring; 마취과학
• ISSN: 2005-6419; 2005-7563

Amyotrophic lateral sclerosis is a neurodegenerative disease caused by the degeneration of upper and lower motor neurons. The disorder causes muscle weakness and atrophy throughout the body. There is an unexpected response to depolarizing or nondepolarizing muscle relaxants, and risk of perioperative respiratory failure is high. Careful monitoring and minimal doses of anesthetics are needed. We report a case of general anesthesia in a patient with amyotrophic lateral sclerosis. We used proper doses of muscle relaxant and inhalation anesthetics with neuromuscular monitoring and bispectral index. The patient early recovered from anesthesia without any respiratory complications. (Korean J Anesthesiol 2008; 55: 250~3)