rocuronium and Fibromyalgia

We report a case of a 34-year-old pregnant woman with fibromyalgia (FM) who underwent cesarean sec- tion under general anesthesia. The patient was taking duloxetine and pregabalin for FM, as well as several anti-depressants due to severe depression. To avoid the exacerbation of FM by spinal anesthesia, we decided to perform cesarean section under general anesthesia. After a crash induction with propofol and rocuronium, tracheal intubation was performed using the Pentax- AWS Airwayscopeo. The procedure was completed uneventfully. Postoperatively, the patient received an ultrasound-guided transverse abdominal plane block and a continuous intravenous fentanyl infusion to relieve pain. No FM exacerbation was noted.

Topics: Adult; Anesthesia, General; Anesthesia, Obstetrical; Cesarean Section; Female; Fentanyl; Fibromyalgia; Humans; Intubation, Intratracheal; Pregnancy; Pregnancy Complications; Propofol; Rocuronium