Anesthetic Consideration of Patient With Myotonic Dystrophy Type 1: A Case Report and Review of Literature.

Myotonic dystrophy type 1 (DM1) presents significant anesthetic challenges. A 46-year-old woman with DM1 underwent emergent exploratory laparotomy. This case highlights the importance of conservative neuromuscular blocker dosing, quantitative neuromuscular monitoring, clinically-guided timing of sugammadex administration, careful airway planning, and use of opioid-sparing multimodal analgesia in a patient with DM1.