Abstract
Muscular dystrophies are a group of genetic diseases characterized by a compromised synthesis or regeneration of contractile proteins, which causes weakness and progressive degeneration of the skeletal muscles. These muscular dystrophies can have significant anesthetic implications (hyperkalemia, rhabdomyolysis, cardiovascular instability, sudden death, etc.), representing a very high perioperative risk for patients. We herein describe the anesthetic management of a 12-year-old boy who was a known case of Duchenne muscular dystrophy posted for appendicectomy. The patient was induced and maintained with TIVA and using nitrous oxide as the only inhaled agent. We emphasize on careful presurgical evaluation and a multidisciplinary approach, ensuring the best perioperative care.
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