Propionic acidemia, unusual metabolic disease with special anesthesic work.

Authors

  • Jesús David Rubio López Residente Anestesiología y Reanimación del H.U. Reina Sofía de Córdoba
  • Rafael Muñoz Martínez FEA Anestesiología y Reanimación del H.U. Reina Sofía de Córdoba.

DOI:

https://doi.org/10.30445/rear.v12i5.822

Keywords:

Propionic Acidemia, anesthesia

Abstract

Propionic Acidemia is a mitochondrial metabolic disease that affects the catabolism of fatty acids, cholesterol and branched chain amino acids due to an enzymatic deficit. There is no correlation of the genotype with the severity of the disease. It is considered a rare disease, although its incidence is variable, and within the errors of metabolism is the most frequent. In the context of a patient with this pathology who needs to be anesthetized several times, we proceed to review the pathophysiology of the disease, its complications and investigate the anesthetic implications of future anesthetic management.

References

- Ruzkova K et al.; Anesthesia and organic aciduria: is the use of lactated Ringer’s solution absolutely contraindicated?; Pediatric Anesthesia; 25; 2015; 807–817.

- Arcas-bellas JJ et al.; General anesthesia in an adult female with propionic acidemia: anesthetic considerations; Minerva anestesiologica; Vol. 79, Nº3; 2013; 313-315.

- Soberón JR et al; Peripheral Nerve Block in a Patient With Propionic Acidemia; Regional Anesthesia and Pain Medicine; Vol. 39, Nº6, November-December 2014; 560-561.

- Eugene H et al; Propionic Acidemia in a Four-Month-Old Male: A Case Study and Anesthetic Implications; Anesthesia Analgesia; 2000; 91; 309–311

- Cammarata-scalisi et al; Clinical, biochemical and molecular findings of propionic acidemia; Arch Argent Pediatr 2019;117(3); e288-e291.

- Karagoz AH et al.; Anesthetic management of a 2-year-old male with propionic acidemia; Pediatric Anesthesia; 2006; 16; 1289–1296.

- Scholtes et al.; The child with a known metabolic disease: Anaesthetic management; Annales Francaises d’Anesthesie et de Reanimation; 2010; 19; 568–569.

- Ryu J. Et al.; Intractable metabolic acidosis in a child with propionic acidemia undergoing liver transplantation
-a case report-; Korean Journal Anesthesiology; 2013 September; 65(3); 257-261.

- Chu TH et al.; Methylmalonic acidemia/propionic acidemia – the biochemical presentation and comparing the outcome between liver transplantation versus non-liver transplantation groups; Orphanet Journal of Rare Diseases; 2019; 14; 73.

- Rajakumar A, Kaliamoorthy I, Reddy MS, Rela M. Anaesthetic considerations for liver transplantation in propionic acidemia. Indian Journal Anaesthesia; 2016; 60; 50-54.

- Ellinas H, Frost EA. Mitochondrial disorders—a review of anesthetic considerations. Middle
East J Anesthesiol. 2011; 21; 235–242.

- Haijes HA et al.; Pathophysiology of propionic and methylmalonic acidemias. Part 1: Complications; Journal of inherited metabolic disease; 2019.

-Haijes HA et al.; Pathophysiology of propionic and methylmalonic acidemias. Part 2: treatment strategies; Journal of inherited metabolic disease; 2019.

Published

2020-08-13

How to Cite

Rubio López, J. D., & Muñoz Martínez, R. (2020). Propionic acidemia, unusual metabolic disease with special anesthesic work. Revista Electrónica AnestesiaR, 12(5), 3. https://doi.org/10.30445/rear.v12i5.822

Most read articles by the same author(s)