oa Southern African Journal of Anaesthesia and Analgesia - Anaesthesia and the paediatric muscle disorders : refresher course
|Article Title||Anaesthesia and the paediatric muscle disorders : refresher course|
|© Publisher:||Medpharm Publications|
|Journal||Southern African Journal of Anaesthesia and Analgesia|
|Author||R. M. Gray|
|Publication Date||Jan 2013|
|Pages||20 - 23|
|Keyword(s)||Dystrophies, Mitochondrial myopathies, Myaesthenic syndromes, Myotonias and Paediatric muscle disorders|
Paediatric muscle disorders have significant implications for anaesthetists. Their effects extend beyond skeletal muscle and manifestations in other organ systems are frequently seen; in addition, adverse reactions to anaesthetic drugs may result in fatality if unrecognised or inadequately treated. In the past, it was thought that muscular dystrophies and myopathies put a patient at increased risk of malignant hyperthermia, however, the link between these conditions has largely been dismissed and other anaesthetic catastrophes, such as anaesthesia-induced rhabdomyolysis, are now recognised. Undiagnosed muscle disorders put children at risk of experiencing adverse reactions to anaesthesia. A high index of suspicion should be exercised during preoperative review to facilitate anaesthetic choices and guide intraoperative management.
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