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PEDIATRIC ANESTHESIA

Spinal Anesthesia For Gastrostomy in an Infant with Nemaline Myopathy

Ze’ev Shenkman, MD^*, Offer Sheffer, MD^*, Ilan Erez, MD, Ita Litmanovitc, MD, and Robert Jedeikin, BSc, MB ChB, FFA^*

Departments of *Anesthesia and Critical Care Medicine, Pediatric Surgery, and Neonatal Intensive Care Unit, Meir General Hospital, Kfar-Saba, Sakler School of Medicine, Tel Aviv University, Israel

Address correspondence to Ze’ev Shenkman, MD, Department of Anesthesia, Meir General Hospital, 59 Tshernichovsky St., Kfar-Saba 44281, Israel. Address e-mail to shlomsh{at}netvision.net.il

Implications: We report a case of spinal anesthesia in an infant with nemaline myopathy. Spinal anesthesia was administered to preempt the potential problems of difficult tracheal intubation and prolonged mechanical ventilation secondary to muscle weakness after the use of IV anesthetics in this patient.

Anesthesia & Analgesia® is published for the International Anesthesia Research Society® by Lippincott Williams & Wilkins with the assistance of Stanford University Libraries' HighWire Press®. Copyright 2006 by the International Anesthesia Research Society. Online ISSN: 1526-7598   Print ISSN: 0003-2999