Abstract
The anaesthetic management of children with neuromuscular diseases giving rise to hypotonia is associated with a variety of problems. Ketamine alone was given by the intravenous or intramuscular route to 32 children with Floppy Infant Syndrome for diagnostic muscle biopsy. The patients aged between three months and 12 yr and weighing 3.2 to 28 kg were studied over three years (1986–1988). The special anaesthetic problems are discussed. The use of ketamine dissociative anaesthesia is reviewed with emphasis on congenital neuromuscular disorders.
Résumé
Les enfants vietimes de maladies neuromusculaires avec hypotonie posent une panoplie de problèmes à l’anesthésiste. Entre 1986 et 1988, nous avons utilisé seulement de la kétamine par voie intraveineuse ou intramusculaire lors de biopsies musculaires diagnostiques chez 32 enfants de trois mois à 12 ans, pesant de 3,2 à 28 kg et atteint du syndrome de flaccidité infantile. Nous discutons des problèmes rencontrés et revoyons la place de l’anesthésie à la kétamine surtout dans le cadre des maladies neuromusculaires congénitales.
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Ramchandra, D.S., Anisya, V. & Gourie-Devi, M. Ketamine monoanaesthesia for diagnostic muscle biopsy in neuromuscular disorders in infancy and childhood: Floppy Infant Syndrome. Can J Anaesth 37, 474–476 (1990). https://doi.org/10.1007/BF03005630
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DOI: https://doi.org/10.1007/BF03005630