title: Case report: anaesthesia in myotonic dystrophy.
abstract: Pancuronium and a continuous infusion of althesin was used to produce muscular relaxation in a patient with myotonic dystrophy. Excellent muscle relaxation with absence of percussion or surgically induced myotonia was obtained but the EMG was not modified; an intracellular site of action of althesin is postulated. Cardiovascular stability was remarkable peroperatively; post-operatively an increased myocardial susceptibility to hypokalaemia was noticed.
mesh_terms: D000328:Adult; D000530:Alfaxalone Alfadolone Mixture / Q000008:administration & dosage; D000768:Anesthesia, General; D004576:Electromyography; D005260:Female; D005283:Fentanyl / Q000008:administration & dosage; D006801:Humans; D007044:Hysterectomy; D009126:Muscle Relaxation / Q000187:drug effects; D009223:Myotonic Dystrophy; D010197:Pancuronium / Q000008:administration & dosage; D011229:Preanesthetic Medication
chemical_list: D000530:Alfaxalone Alfadolone Mixture; D010197:Pancuronium; D005283:Fentanyl