caa a22 4500 445373539 CHVBK 20180317142955.0 cr unu---uuuuu 170323e20110601xx s 000 0 eng 10.1007/s00540-011-1127-2 doi (NATIONALLICENCE)springer-10.1007/s00540-011-1127-2 Anesthetic management of a patient with narcolepsy [Elektronische Daten] [Yasuhiro Morimoto, Yuko Nogami, Kaori Harada, Hiroko Shiramoto, Takayo Moguchi] We report the anesthetic management of a narcoleptic patient performed using sevoflurane-remifentanil with bispectral index (BIS) monitoring. A 22-year-old man, who was diagnosed with narcolepsy at the age of 17, requested endoscopic sinus surgery, under general anesthesia, for chronic allergic rhinitis. On the morning of the day of operation, he took his daily dose of modafinil, used to control narcolepsy. Anesthesia was induced by 5% sevoflurane and maintained with sevoflurane and continuous infusion of remifentanil and 60% oxygen in conjunction with BIS monitoring. BIS values were between 47 and 58. Duration of surgery was 150min. After surgery, the patient emerged from anesthesia within 10min and was extubated. His recovery was uneventful. We found the use of BIS monitoring for titrating sevoflurane concentration in a narcoleptic patient is useful for preventing not only oversedation but also intraoperative awareness caused by the preoperative medication. Japanese Society of Anesthesiologists, 2011 BIS nationallicence Narcolepsy nationallicence Sevoflurane nationallicence Morimoto Yasuhiro Department of Anesthesia, Ube Industries Central Hospital, 750 Nishikiwa, 755-0151, Ube, Japan aut Nogami Yuko Department of Anesthesia, Ube Industries Central Hospital, 750 Nishikiwa, 755-0151, Ube, Japan aut Harada Kaori Department of Anesthesia, Ube Industries Central Hospital, 750 Nishikiwa, 755-0151, Ube, Japan aut Shiramoto Hiroko Department of Anesthesia, Ube Industries Central Hospital, 750 Nishikiwa, 755-0151, Ube, Japan aut Moguchi Takayo Department of Anesthesiology, Yamaguchi University Postgraduate School of Medicine, Ube, Japan aut Journal of Anesthesia Springer Japan 25/3(2011-06-01), 435-437 0913-8668 25:3<435 2011 25 540 https://doi.org/10.1007/s00540-011-1127-2 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s00540-011-1127-2 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Morimoto Yasuhiro Department of Anesthesia, Ube Industries Central Hospital, 750 Nishikiwa, 755-0151, Ube, Japan aut NATIONALLICENCE 700 1- Nogami Yuko Department of Anesthesia, Ube Industries Central Hospital, 750 Nishikiwa, 755-0151, Ube, Japan aut NATIONALLICENCE 700 1- Harada Kaori Department of Anesthesia, Ube Industries Central Hospital, 750 Nishikiwa, 755-0151, Ube, Japan aut NATIONALLICENCE 700 1- Shiramoto Hiroko Department of Anesthesia, Ube Industries Central Hospital, 750 Nishikiwa, 755-0151, Ube, Japan aut NATIONALLICENCE 700 1- Moguchi Takayo Department of Anesthesiology, Yamaguchi University Postgraduate School of Medicine, Ube, Japan aut NATIONALLICENCE 773 0- Journal of Anesthesia Springer Japan 25/3(2011-06-01), 435-437 0913-8668 25:3<435 2011 25 540 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer