Cardiac arrest after isoflurane anaesthesia in a patient with Duchenne's muscular dystrophy |
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Authors: | G A CHALKIADIS K G BRANCH |
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Institution: | James Paget Hospital, Department of Anaesthesia, Great Yarmouth, Norfolk. |
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Abstract: | An 8-year-old boy known to have Duchenne's muscular dystrophy suffered a cardiac arrest 10 minutes after he regained consciousness after isoflurane anaesthesia for an orchidopexy procedure. Resuscitation was successful 2 hours after the start of external cardiac compression and after correction of hyperkalaemia and the administration of dantrolene. He later developed myoglobinuria elevated creatine kinase and a metabolic and respiratory acidosis. He demonstrated a delayed increase in rectal temperature. |
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Keywords: | Complications Duchenne's muscular dystrophy malignant hyperthermia rhabdomyolysis Anaesthetics volatile isoflurane |
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