Abstract
Spinal Muscular Atrophy (SMA) is a rare genetic disease characterized by progressive degeneration of spinal cord motor neurons resulting in hypotonic muscle weakness.1 Out of the four types, type I is the most severe, presenting at 0 to 6 months. This is the most challenging type for anaesthetic management due to muscular weakness, airway difficulties, hyper sensitivity to non depolarising muscle relaxants, risk of hyperkalemia and difficulty in intravenous cannulation. 3 Here we present a case of SMA type I infant posted for percutaneous endoscopic gastrostomy (PEG) tube insertion under total intravenous anaesthesia (TIVA).
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