Abstract
Conventional anesthetic management of juvenile dermatomyositis involves general anesthesia with endotracheal intubation using non-depolarizing muscle relaxants. Neuromuscular monitoring would be required for the titration of neuromuscular blocking drugs as these patients are more sensitive to these drugs, which leads to delayed recovery. Here we present a 14-year-old girl with juvenile dermatomyositis posted for laparoscopic appendicectomy. Considering the complications of the disease, ProSeal(TM) laryngeal mask airway was used for airway management with ultrasound-guided transverse abdominis plane block for analgesia. This approach eliminated the need for non-depolarizing neuromuscular blockade and neuromuscular monitoring and provided adequate analgesia.