Anaesthesia for diagnostic muscle biopsy in an infant with Pompe’s disease |
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| Authors: | Kathleen R. Rosen Lynn M. Broadman |
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| Affiliation: | 1. Department of Anesthesiology and Child Health and Development, Children’s Hospital National Medical Center and the George Washington University Medical Center, 111 Michigan Avenue, Northwest, 20010, Washington, D.C.
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| Abstract: | The anaesthetic management of children with glycogen-storage disease type lia (Pompe’s disease) presents a variety of challenges. A modification of a femoral nerve block, the inguinal paravascular block, as described by Winnie, was used in conjunction with intravenous ketamine to provide anaesthesia for a diagnostic muscle biopsy in a 5.5-month-old infant with Pompe’s disease. A peripheral nerve stimulator was used to locate the femoral nerve in lieu of eliciting a paraesthesia. |
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