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Anesth Analg 2005;101:1562
© 2005 International Anesthesia Research Society

LETTER TO THE EDITOR

Hyperkalemic Cardiac Arrest After Cardiopulmonary Bypass in a Child with Duchenne Muscular Dystrophy

Aruna Nathan, MD, Arjunan Ganesh, MBBS, Rodolfo I. Godinez, MD, PhD, Susan C. Nicolson, MD, and William J. Greeley, MD

Department of Anesthesia and Critical Care Medicine; The Children’s Hospital of Philadelphia (Nathan) Department of Anesthesia and Critical Care Medicine; The Children’s Hospital of Philadelphia; Department of Anesthesia; University of Pennsylvania School of Medicine; Philadelphia, Pennsylvania; ganesha{at}email.chop.edu (Ganesh, Godinez, Nicolson, Greeley)

In Response:

We appreciate the comments of Drs. Al-Takrouri and Mayhew. We agree with them that "universal screening" for elevated creatine kinase during the preoperative evaluation is unnecessary. We had been very careful in preparing our manuscript (1) and had only recommended estimating creatine kinase in children with a history of unexplained motor delay. We also agree with them on the need for a cost analysis for neonatal screening.

Reference

  1. Nathan A, Ganesh A, Godinez RI, et al. Hyperkalemic cardiac arrest after cardiopulmonary bypass in a child with unsuspected Duchenne muscular dystrophy. Anesth Analg 2005;100:672–4.[Abstract/Free Full Text]




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Lippincott, Williams & Wilkins Anesthesia & Analgesia® is published for the International Anesthesia Research Society® by Lippincott Williams & Wilkins and Stanford University Libraries' HighWire Press®. Copyright 2005 by the International Anesthesia Research Society. Online ISSN: 1526-7598   Print ISSN: 0003-2999 HighWire Press