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Canadian Journal of Anesthesia, Vol 33, 71-74, Copyright © 1986 by Canadian Anesthesiologists' Society

Anaesthetic Management of A Child with Dermatomyositis

ROGER A. JOHNS MD1, DAVID A. FINHOLT MD1, and JOSEPH A. STIRT MD1

1 Departments of Anesthesiology and Pediatrics, University of Virginia Medical Center, Charlottesville, VA

Address correspondence to: Dr R.A. Johns, Department of Anesthesiology, Box 238, University of Virginia Medical Center, Charlottesville, VA 22908.

A two years, ten months old male with dermatomyositis was anaesthetized with enflurane, nitrous oxide and oxygen by mask followed by intravenous succinylcholine to facilitate endotracheal intubation. The evoked thumb twitch in response to succinylcholine demonstrated an abnormal, short-lived contracture. The depresion, duration and return to control of muscle twitch tension and a transient rise in serum potassium concentration followed a normal pattern.

Key Words: ANAESTHESIA: general • NEUROMUSCULAR RELAXANTS: succinylcholine • COMPLICATIONS: dermatomyositis






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Copyright © 1986 by the Canadian Anesthesiologists' Society.