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Canadian Journal of Anesthesia, Vol 37, 474-476, Copyright © 1990 by Canadian Anesthesiologists' Society

ARTICLES

Ketamine monoanaesthesia for diagnostic muscle biopsy in neuromuscular disorders in infancy and childhood: floppy infant syndrome

DS Ramchandra, V Anisya and M Gourie-Devi
Department of Neuroanaesthesia, National Institute of Mental Health and Neuro Sciences, Bangalore, India.

The anaesthetic management of children with neuromuscular diseases giving rise to hypotonia is associated with a variety of problems. Ketamine alone was given by the intravenous or intramuscular route to 32 children with Floppy Infant Syndrome for diagnostic muscle biopsy. The patients aged between three months and 12 yr and weighing 3.2 to 28 kg were studied over three years (1986-1988). The special anaesthetic problems are discussed. The use of ketamine dissociative anaesthesia is reviewed with emphasis on congenital neuromuscular disorders.




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Copyright © 1990 by the Canadian Anesthesiologists' Society.