A case report of the successful use of regional anaesthesia and mixed sedative techniques in an adolescent with Duchenne muscular dystrophy

Keywords: Duchenne muscular dystrophy, regional anaesthesia, sciatic nerve block, sedation, non-pharmacological sedation

Abstract

In this case report, we present a 12-year-old male who presented with clubbed feet for Achilles tenotomy with comorbid Duchenne muscular dystrophy and obesity. Owing to his prior surgical history and requirement for a prolonged intensive care unit stay with mechanical ventilation, we opted for a regional anaesthetic technique with mixed pharmacological and non-pharmacological sedation. The patient tolerated the nerve blocks with minimal sedation with midazolam and local anaesthesia and the surgery was performed successfully with light sedation and the help of his favourite song.

Author Biographies

R Tladi, University of the Free State

Department of Anaesthesiology, Faculty of Health Sciences, University of the Free State, South Africa

R Swart, University of the Free State

Department of Anaesthesiology, Faculty of Health Sciences, University of the Free State, South Africa

Published
2021-02-24
Section
Case Studies