Anaesthetic management of a case of suspected myopathy posted for emergency appendicectomy
Journal Title: MedPulse -International Medical Journal - Year 2014, Vol 1, Issue 5
Abstract
Introduction: Rarely we encounter patients with myopathic disorders for emergency surgeries where actual diagnosis is not known and there is no time for evaluation. We are describing the anaesthetic management of a female patient with suspected myopathy posted for emergency laparoscopic appendectomy. The case was managed with use of propofol, atracurium, neuromuscular monitoring. Use of Inhalation agents, suxamethonium and neostigmine were avoided, to reduce the risk of reported complications such as malignant hyperthermia, rhabdomyolysis–hyperkalemia, myotonic contractions.
Authors and Affiliations
Prajeesh M. Nambiar, Arun Mathur
Keywords
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