Hyperkalemic cardiac arrest after cardiopulmonary bypass in a child with unsuspected duchenne muscular dystrophy.

Abstract:

:Adverse reactions to volatile anesthetics and depolarizing muscle relaxants can occur in patients with Duchenne muscular dystrophy (DMD) resulting in acute rhabdomyolysis and hyperkalemia. We report a case of hyperkalemic cardiac arrest after cardiac surgery using cardiopulmonary bypass in a child with unsuspected DMD. Early diagnosis and management of hyperkalemia resulted in a successful outcome. Genetic testing confirmed the diagnosis of DMD. We recommend a thorough preoperative investigation, including creatine kinase estimation, in children with a history of unexplained motor delay.

journal_name

Anesth Analg

journal_title

Anesthesia and analgesia

authors

Nathan A,Ganesh A,Godinez RI,Nicolson SC,Greeley WJ

doi

10.1213/01.ANE.0000146533.21771.2F

subject

Has Abstract

pub_date

2005-03-01 00:00:00

pages

672-4, table of contents

issue

3

eissn

0003-2999

issn

1526-7598

pii

100/3/672

journal_volume

100

pub_type

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