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MedPulse - International Medical Journal, ISSN 2348-2516 E-ISSN: 2348-1897

Volume 1, Issue 5, April 2014 pp 214-216

Case Report

Anaesthetic management of a case of suspected myopathy posted for emergency appendicectomy

Prajeesh M. Nambiar1, Arun Mathur2

1,2 Assistant Professor, Department of Anaesthesia and Critical care, Kannur Medical College, Kannur, Kerala, INDIA.


Academic Editor : Dr. Bhanap P. L.

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.
 
 
 
 
 
 
     
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