Paper Information

Journal:   AVICENNA JOURNAL OF CLINICAL MEDICINE (SCIENTIFIC JOURNAL OF HAMADAN UNIVERSITY OF MEDICAL SCIENCES AND HEALTH SERVICES)   Winter 2003 , Volume 9 , Number 4 (SN 26); Page(s) 71 To 74.
 
Paper: 

A CASE REPORT OF A LIFE THREATENING RESPONSE AFTER ADMINISTRATION OF SUCCINYLCHOLINE IN AN ADOLESCENT MALE

 
 
Author(s):  AL BALBAKI M.*, KIMIAIE ASADI H., HAKEMZADEH F.
 
* Department of Anesthesiology, School of Medicine, Hamadan University of Medical Sciences & Health Services, Hamadan, Iran
 
Abstract: 

All of the textbooks of anesthesia have recently stated that succinylcholine is contraindicated for routine using in children and youth except for emergency tracheal intubation or in instance where immediate securing of the airway in necessary. This study is a rare one about the dangerous response of a 16 years old boy to succinylcholine in hernia repair. The patient got to an unstable hemodynamic condition after repeated dose of drug in operation room and after many hours he woke with severe weakness muscle tone.
In investigation about his problem the cause of muscle lysis was hyperkalemia (k=6.3 mEq/L). Myglobinuria CPK=225000 U/L, LDH= 3000 U/L were remarkable about his problem. Finally the patient discharged in good condition with an unknown myopathy diagnosis.

 
Keyword(s): ANESTHESIA, GENERAL, SUCCINYLCHOLINE, MYOGLOBINURIA, MYOPATHY, IDIOPATHIC
 
References: 
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