Anesth Analg 2000;91:27-28
© 2000 International Anesthesia Research Society
PEDIATRIC ANESTHESIA
Rapacuronium Administration to Two Children with Duchennes Muscular Dystrophy
Gary A. Frankowski, MD*,
Joel O. Johnson, MD, PhD*, , and
Joseph D. Tobias, MD*, ,§
Departments of
*Anesthesiology,
Neurosurgery, and
Pediatrics and
§Division of Pediatric Critical Care/Pediatric Anesthesiology, The University of Missouri, Columbia, Missouri
Address correspondence and reprint requests to Joseph D. Tobias, MD, Professor of Anesthesiology and Child Health,The University of Missouri, Department of Child Health, M658 Health Sciences Center, One Hospital Dr., Columbia, MO 65212. Address e-mail to Tobiasj{at}health.missouri.edu
Implications: Children with Duchennes muscular dystrophy should not be exposed to succinylcholine because of the risk of hyperkalemic cardiac arrest and rhabdomyolysis. This report describes the response to rapacuronium bromide in two patients with Duchennes muscular dystrophy. Both patients had a recovery index 2 times longer than that reported in children with normal neuromuscular function.
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J. Schmidt, T. Muenster, S. Wick, J. Forst, and H. J. Schmitt
Onset and duration of mivacurium-induced neuromuscular block in patients with Duchenne muscular dystrophy
Br. J. Anaesth.,
December 1, 2005;
95(6):
769 - 772.
[Abstract]
[Full Text]
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