ABSTRACT
Amyotrophic lateral sclerosis is a chronic neurodegenerative disease of the central nervous system which affects the motor neurons and produces a progressive muscle weakness, leading to atrophy and muscle paralysis, and ultimately death. Performing a percutaneous endoscopic gastrostomy with sedation in patients with amyotrophic lateral sclerosis can be a challenge for the anesthesiologist. The case is presented of a 76-year-old patient who suffered from advanced stage amyotrophic lateral sclerosis, ASA III, in which a percutaneous endoscopic gastrostomy was performed with deep sedation, for which non-invasive ventilation was used as a respiratory support to prevent hypoventilation and postoperative respiratory complications.
Subject(s)
Amyotrophic Lateral Sclerosis/surgery , Gastroscopy/methods , Gastrostomy , Masks , Noninvasive Ventilation/methods , Aged , Deep Sedation , Equipment Design , Humans , Male , Muscle Weakness/etiology , Muscle Weakness/physiopathology , Noninvasive Ventilation/instrumentation , Postoperative Complications/prevention & control , Respiratory Muscles/physiopathologySubject(s)
Anesthesia, Epidural/adverse effects , Apnea/etiology , Atrial Premature Complexes/etiology , Cough/etiology , Fibromatosis, Aggressive/surgery , Heart Atria/pathology , Heart Neoplasms/complications , Intraoperative Complications/etiology , Myxoma/complications , Postoperative Complications/surgery , Skin Neoplasms/surgery , Syncope/etiology , Adult , Atrial Premature Complexes/physiopathology , Cicatrix/surgery , Cough/physiopathology , Female , Heart Atria/diagnostic imaging , Heart Atria/surgery , Heart Neoplasms/diagnostic imaging , Heart Neoplasms/surgery , Humans , Incidental Findings , Intraoperative Complications/physiopathology , Myxoma/diagnostic imaging , Myxoma/surgery , Recurrent Laryngeal Nerve/physiopathology , Supine Position/physiology , Syncope/physiopathology , Ultrasonography , Ventricular Premature Complexes/etiology , Ventricular Premature Complexes/physiopathologyABSTRACT
No disponible
Subject(s)
Humans , Female , Adult , Myxoma/complications , Anesthesia, Spinal/adverse effects , Fibroma, Desmoplastic/surgery , Cough/etiology , Syncope/etiology , Tachycardia, Supraventricular/etiology , Respiratory Insufficiency/etiologyABSTRACT
Noninvasive ventilation (NIV) can be useful to anesthesiologists working in critical care units, postanesthesia recovery units, operating theaters, or other settings. NIV can help in situations of acute respiratory failure or serve as a preventive measure in patients undergoing interventions under local-regional anesthesia or diagnostic or therapeutic procedures requiring sedation. Successful NIV depends on adequately trained health personnel and the proper choice of material (interfaces, respirators, etc.) for each setting where this modality is used.
Subject(s)
Anesthesia Recovery Period , Anesthesiology/methods , Intraoperative Care/methods , Postoperative Care/methods , Respiration, Artificial/methods , Acute Disease , Anesthesia, Spinal , Bronchoscopy , Catheter Ablation , Continuous Positive Airway Pressure , Fiber Optic Technology , Gastroscopy , Humans , Intensive Care Units , Intraoperative Complications/therapy , Intubation, Intratracheal , Nerve Block , Postoperative Complications/therapy , Pulmonary Disease, Chronic Obstructive/complications , Recovery Room , Respiration, Artificial/instrumentation , Respiration, Artificial/nursing , Respiratory Insufficiency/therapyABSTRACT
La ventilación mecánica no invasiva (VMNI) puederesultar una técnica muy útil para el anestesiólogo tantosi su trabajo transcurre en la Unidad de CuidadosCríticos, en la Unidad de Recuperación Postanestésica(URPA), en el quirófano e incluso fuera del áreaquirúrgica. Puede ayudar a tratar situaciones en las quese presente una insuficiencia respiratoria aguda (IRA) opuede prevenir que ésta aparezca en pacientes de riesgosometidos a intervenciones con anestesia loco-regional oen determinadas pruebas diagnóstico-terapéuticas querequieren sedación. La correcta utilización de la VMNIdepende de una adecuada formación del personalsanitario y de una acertada elección del material(interfases, respiradores, etc.) para su realización encada uno de los ámbitos de nuestro trabajo en los quepuede ser útil su puesta en práctica(AU)
Noninvasive ventilation (NIV) can be useful toanesthesiologists working in critical care units,postanesthesia recovery units, operating theaters, orother settings. NIV can help in situations of acuterespiratory failure or serve as a preventive measure inpatients undergoing interventions under local-regionalanesthesia or diagnostic or therapeutic proceduresrequiring sedation. Successful NIV depends onadequately trained health personnel and the properchoice of material (interfaces, respirators, etc.) for eachsetting where this modality is used(AU)
