Anesthesia for a painless patient

Authors

  • Joana Chaves Carvalho Serviço de Anestesiologia. Unidade Local de Saúde de Matosinhos – Hospital Pedro Hispano - Matosinhos
  • Inês Neves Serviço de Anestesiologia. Instituto Português de Oncologia Francisco Gentil – Porto
  • Carlos Moreno Serviço de Anestesiologia. Centro Hospitalar de São João – Porto
  • Susana Vargas Serviço de Anestesiologia. Centro Hospitalar de São João – Porto

DOI:

https://doi.org/10.25751/rspa.4833

Keywords:

Anesthesia, General, Hereditary Sensitive and Autonomic Neuropathies

Abstract

Congenital insensitivity to pain with anhidrosis or hereditary sensory and autonomic neuropathy type IV  is a rare autossomic recessive disorder caused from loss of unmyelinayted nociceptive afferents and innervation to the sweat glands. The patient’s inability to perceive pain leads to recurrent self-inflicted injuries that result in numerous surgeries during their lifetime. Due to its rarity, there is a limited amount of information concerning the anesthetic management of these individuals. Therefore, with this report we aim to describe the case of an infant with congenital insensitivity to pain with anhidrosis who underwent surgical debridement of a wound, to discuss the characteristics of this disease with anesthetic relevance and to compare our choices with the ones in international literature.

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Published

2014-07-01

How to Cite

Carvalho, J. C., Neves, I., Moreno, C., & Vargas, S. (2014). Anesthesia for a painless patient. Journal of the Portuguese Society of Anesthesiology, 23(3), 94–97. https://doi.org/10.25751/rspa.4833

Issue

Vol. 23 No. 3 (2014)

Section

Case Report

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