Abstract
A two years, ten months old male with dermatomyositis was anaesthetized with enflurane, nitrous oxide and oxygen by mask followed by intravenous succinylcholine to facilitate endotracheal intubation. The evoked thumb twitch in response to succinylcholine demonstrated an abnormal, short-lived contracture. The depresion, duration and return to control of muscle twitch tension and a transient rise in serum potassium concentration followed a normal pattern.
Résumé
Un patient âgé de deux ans dix mois atteinte de dermatomyosite a été anesthésié avec l’enflurane, pro-toxyde d’azote, oxygène, au masque après administration intra-veineuse de succinylcholine afin de faciliter l’intubation endotrachéale. Après la succinylcholine la réponse à la stimulation musculaire était anormale et de courte durée. La dépression, durée et ainsi que le retour au contrôle de la contraction musculaire ainsi que l’élévation transitoire du potassium sérique étaient prévisibles.
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Johns, R.A., Finholt, D.A. & Stirt, J.A. Anaesthetic management of a child with dermatomyositis. Can Anaesth Soc J 33, 71–74 (1986). https://doi.org/10.1007/BF03010912
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DOI: https://doi.org/10.1007/BF03010912