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Anaesthesia induced rhabdomyolysis a case report

Abstract

Anaesthesia-induced rhabdomyolysis (AIR) is a rare but serious complication of general anaesthesia. We report the occurrence of this event in a previously healthy three-year-old male, with a strongly positive family history ofDuchenne muscular dystrophy. Following an uneventful anaesthetic, which included succinylcholine, myoglobinuria developed and led to renal failure which fortunately reversed with conservative treatment. Based on review of reports of similar cases, it is clear that succinylcholine should be avoided in paediatric patients with known myopathy or at high risk for latent myopathy.

Résumé

La rhabdomyolyse causée par l’anesthésie générale (AIR) est une complication rare mais sérieuse. On a constaté un tel cas chez un garçon de trots arts, en bonne santé mais ayant des antécédents familiaux de dystrophie musculaire, type Duchenne. Apreès le cours normal de l’anesthésie générale incluant l’usage de la succinylcholine, l’enfant développa une myoglobinurie qui provoqua une insuffisance rénale. Heureusement, la fonction rénale reprit son cours normal suite à un traitement conservateur. Se basant sur les rapports d’autres cas semblables il est évident qu’on doit éviter l’administration de succinylcholine chez les enfants atleints de myopathie ou prédisposés à la myopathie.

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Correspondence to J. D. McKishnie or D. P. Girvan.

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McKishnie, J.D., Girvan, D.P. Anaesthesia induced rhabdomyolysis a case report. Can Anaesth Soc J 30, 295–298 (1983). https://doi.org/10.1007/BF03013811

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Key words

  • complications
  • anaesthesia-induced rhabdomyolysis