Anesthetic Management of a Case of Duchenne Muscular Dystrophy in Congestive Heart Failure with Compartment Syndrome of the Upper Limb for Emergency Fasciotomy

authors:

avatar Sangam Yadav 1 , * , avatar Abhishek Singh 2 , avatar Anjolie Chhabra 1

AIIMS, NEW DELHI
ALL INDIA INSTITUTE OF MEDICAL SCIENCES, NEW DELHI
Journal of Cellular & Molecular Anesthesia: Vol.6, issue 4; e149737
published online: September 07, 2021
article type: Case Report
DOI: https://doi.org/10.22037/jcma.v6i4.35351

how to cite: Yadav S , Singh A, Chhabra A. Anesthetic Management of a Case of Duchenne Muscular Dystrophy in Congestive Heart Failure with Compartment Syndrome of the Upper Limb for Emergency Fasciotomy. J Cell Mol Anesth. 2021;6(4):e149737. https://doi.org/10.22037/jcma.v6i4.35351.

Abstract

We describe the effectiveness and safety of regional anesthesia in a patient with Duchenne muscular dystrophy (DMD) with a deranged coagulation profile. A 16-year-old male having DMD and congestive heart failure (CHF) presented to emergency with abdominal pain. Following cannula insertion, the patient developed compartment syndrome of the left forearm and hand. He was started on thrombolytic heparin infusion and the surgical team planned for an emergency fasciotomy. Ultrasound-guided axillary plexus block with ropivacaine allowed us to provide effective anesthesia for this patient avoiding the deleterious effects of general Anesthesia.

References

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    References are in the PDF file of the article.