Myotonic Dystrophy and Volvulus: Anesthetic Considerations For an Urgent Situation And the Role of Sugammadex; A Case Report

Myotonic dystrophy (MD), although an uncommon disorder, is challenging for anesthesiologists as it restricts medication choices and involves organs other than muscles. Here we report a known case of an MD who underwent laparotomy for bowel obstruction. Anesthesia was induced rapidly, and muscle relaxation was achieved by using a high dose of rocuronium. Reversal muscle relaxation was successfully done by using sugammadex with no residual relaxation. Rocuronium could be used as a safe means of rapid muscle relaxation in MD, and the complete reversal could be achieved with sugammadex.

Keywords:

Myotonic dystrophy , Steinert disease , Sugammadex , Rocuronium