Management of Patient with Limb Girdle Muscular Dystrophy for ERCP and Regional Anaesthesia for Laparoscopic Cholecystectomy: Case Report

Vol 3 | Issue 1 | January-June 2022 | Page 27-30 | Shalini Saksena , Arnab Paul

DOI: 10.13107/ijra.2022.v03i01.051

Authors: Shalini Saksena [1], Arnab Paul [1]

[1] Department of Anaesthesia, PD Hinduja National Hospital & MRC, Mahim, Mumbai, Maharashtra, India.

Address of Correspondence:
Dr. Arnab Paul,
Department of Anaesthesia, PD Hinduja National Hospital & MRC, Mahim, Mumbai, Maharashtra, India.


Limb-Girdle muscular dystrophies (LGMDs) are a clinically and genetically heterogeneous group of disorders characterized in general by predominantly limb-girdle weakness. It manifests as proximal muscle weakness involving the pelvic girdle and scapular girdle. We report the anaesthetic management of a patient who is a known case of limb-girdle muscular dystrophy, presented with cholecystitis to our institution. Patient underwent endoscopic retrograde cholangio pancreatography (ERCP) under total intravenous anaesthesia followed by laparoscopic cholecystectomy under spinal anaesthesia which were managed successfully.
Keywords: Muscular Dystrophies, Limb-Girdle, Malignant Hyperthermia, Anaesthesia


1. Jayadev S. Muscular Dystrophies. Brenner’s Encyclopedia of Genetics 2013; 2: 522-4.
2. Allen T, Maguire S. Anaesthetic management of a woman with autosomal recessive limb-girdle muscular dystrophy for emergency caesarean section. Int J Obstet Anesth 2007; 16:370–374.
3. Iyadurai SJ, Kissel JT. The Limb-Girdle Muscular Dystrophies and the Dystrophinopathies. Continuum (Minneap Minn). 2016;22(6, Muscle and Neuromuscular Junction Disorders):1954–77
4. Chu ML, Moran E. The limb-girdle muscular dystrophies: is treatment on the horizon? Neurotherapeutics. 2018; 15:849–62.
5. Richa FC. Anaesthetic management of a patient with limb-girdle muscular dystrophy for laparoscopic cholecystectomy. Eur J Anaesthesiol 2011; 28:72–73.
6. Segura LG, Lorenz JD, Weingarten TN, et al. Anaesthesia and Duchenne or Becker muscular dystrophy: review of 117 anesthetic exposures. Paediatr Anaesth 2013; 23:855–864.
7. Kim TW, Nemergut ME. Preparation of modern Anaesthesia workstations for malignant hyperthermia-susceptible patients: a review of past and present practice. Anesthesiology. 2011;114(1):205–12.
8. Wappler F. Anaesthesia for patients with a history of malignant hyperthermia. Curr Opin Anaesthesiol. 2010;23(3):417–22.
9. Bajwa SJ, Kulshrestha A. Anaesthesia for laparoscopic surgery: General vs regional anaesthesia. J Min Access Surg 2016; 12:4-9.
10. Catani M, Guerricchio R, De Milito R, et al. ‘Low-pressure’ laparoscopic cholecystectomy in high-risk patients (ASA III and IV): our experience. Chir Ital 2004; 56:71–80.
11. Van Obbergh LJ, Corteel J, Papadopoulos J, et al. Anaesthesia for a child suffering from a deletion in the Xp21 loci resulting in Duchenne disease, glycerol kinase deficiency and congenital adrenal hypoplasia. Paediatr Anaesth 2011; 21:1085–87.

How to Cite this Article: Saksena S, Paul A | Management of Patient With Limb Girdle Muscular Dystrophy for ERCP and Regional Anaesthesia for Laparoscopic Cholecystectomy: Case Report | International Journal of Regional Anaesthesia | January-June 2022; 3(1): 27-30.


(Abstract Text HTML)    (Download PDF)

28 replies
  1. Hairstyles
    Hairstyles says:

    Wonderful items from you, man. I have take into accout your stuff prior to and you are simply extremely excellent. I actually like what you’ve obtained here, really like what you’re stating and the way in which wherein you assert it. You make it entertaining and you continue to care for to stay it wise. I cant wait to learn far more from you. That is actually a terrific site.

  2. Hairstyles VIP
    Hairstyles VIP says:

    I do accept as true with all the concepts you have introduced for your post. They are very convincing and can definitely work. Nonetheless, the posts are very quick for starters. May just you please prolong them a little from next time? Thank you for the post.

  3. HI Hairstyles
    HI Hairstyles says:

    In line with my study, after a in foreclosure home is bought at a bidding, it is common for the borrower in order to still have a remaining balance on the financial loan. There are many creditors who attempt to have all rates and liens paid off by the up coming buyer. Nevertheless, depending on selected programs, legislation, and state guidelines there may be quite a few loans which aren’t easily solved through the switch of lending options. Therefore, the responsibility still rests on the debtor that has obtained his or her property in foreclosure. Many thanks for sharing your opinions on this blog.

  4. says:

    Just desire to say your article is as surprising. The clearness to your submit is
    just excellent and that i can think you’re an expert in this subject.

    Well along with your permission allow me to seize your RSS feed to keep
    up to date with approaching post. Thanks one million and please carry on the enjoyable work.

  5. says:

    Howdy, i read your blog occasionally and i own a similar
    one and i was just wondering if you get a lot of spam feedback?
    If so how do you prevent it, any plugin or anything you can suggest?
    I get so much lately it’s driving me insane so any assistance is very
    much appreciated.

  6. Hairstyles
    Hairstyles says:

    I enjoy you because of all your valuable hard work on this website. Kim delights in participating in investigation and it’s easy to see why. Many of us notice all regarding the dynamic means you produce important tactics by means of the web site and as well welcome response from the others on that matter so our own daughter is really being taught a lot. Take advantage of the remaining portion of the new year. You’re the one carrying out a brilliant job.

  7. says:

    Hi there, I found your web site by the use of Google while looking for a related matter, your site came up, it seems to be great.

    I’ve bookmarked it in my google bookmarks.
    Hello there, simply become aware of your weblog via Google, and found that it’s really informative.
    I am going to watch out for brussels. I will appreciate in case you continue this in future.
    Many people will likely be benefited out of your writing.

  8. I Fashion Styles
    I Fashion Styles says:

    One thing I would like to say is the fact that before getting more personal computer memory, look at the machine within which it will be installed. Should the machine will be running Windows XP, for instance, the actual memory ceiling is 3.25GB. Setting up in excess of this would purely constitute just a waste. Make sure that one’s motherboard can handle the upgrade volume, as well. Great blog post.

  9. how to book cheap flights
    how to book cheap flights says:

    Oh my goodness! Incredible article dude! Thank you, However
    I am experiencing troubles with your RSS. I don’t know the reason why I am unable to join it.
    Is there anybody else having identical RSS issues?
    Anyone who knows the answer will you kindly respond?

  10. plane tickets
    plane tickets says:

    This design is spectacular! You certainly know how to keep a reader entertained.
    Between your wit and your videos, I was almost moved to
    start my own blog (well, almost…HaHa!) Wonderful job. I really enjoyed what you had to say, and more than that, how you presented
    it. Too cool!

  11. says:

    Im excited to discover this web site. I need to to thank you for ones time for this wonderful read!! I definitely savored every bit of it and I have you bookmarked to look at new information in your web site.

  12. gamefly
    gamefly says:

    Someone essentially assist to make seriously posts I’d state.
    That is the first time I frequented your website page and
    to this point? I amazed with the research you made to create this actual publish extraordinary.
    Wonderful process!

  13. Register here and get a bonus
    Register here and get a bonus says:

    Being a digital marketer today is definitely not easy! Not only do you need high-quality content, you need a lot of it. But creating good content is incredibly time consuming. At least that is what I thought until I came across WordAi… In case you have never heard of WordAi, it is a lightning fast content rewriter that uses Artificial Intelligence to automatically create unique variations of any piece of content. The best part is, WordAi creates rewrites that both humans and Google love.  I know, that’s a bold claim and I was pretty skeptical myself. So I decided to test their claims with their free trial and can tell you honestly, I opted directly for the yearly subscription after that. I’m not exaggerating when I tell you that WordAi is better than any other tool, service, or method on the market. I have been using WordAi to fill out my blogs and have already covered the cost of my yearly subscription. Its crazy but Im just scratching the surface of how far I can scale my SEO with WordAi! While I am using WordAi to scale my SEO efforts, you can also use WordAi to diversify your copy or even brainstorm to beat writers block! I could tell you about WordAi all day, but you really just need to try it for yourself. They are so confident in their technology that they offer a completely free 3-day trial AND a 30-day money back guarantee. So what are you waiting for? Click here to get started with WordAi for Free! Register here and get a bonus.

  14. Israel night club
    Israel night club says:

    I was excited to discover this website. I want to to thank you for your time for this wonderful read!! I definitely liked every part of it and i also have you book-marked to look at new things on your website.

  15. says:

    Thanks for every other informative site.
    The place else could I get that kind of info written in such an ideal approach?

    I’ve a undertaking that I am just now working on, and I’ve been at the glance out for such info.

  16. says:

    Greetings I am so excited I found your webpage, I really found you by accident,
    while I was researching on Aol for something else, Nonetheless I am
    here now and would just like to say many thanks for
    a remarkable post and a all round thrilling blog (I also love the theme/design), I don’t have time to
    read through it all at the minute but I have bookmarked it and also added in your RSS feeds, so
    when I have time I will be back to read much more, Please do keep up
    the awesome work.


Leave a Reply

Want to join the discussion?
Feel free to contribute!

Leave a Reply

Your email address will not be published. Required fields are marked *