Cardiac arrest after isoflurane anaesthesia in a patient with Duchenne's muscular dystrophy.
An 8-year-old boy known to have Duchenne's muscular dystrophy suffered a cardiac arrest 10 minutes after he regained consciousness after isoflurane anaesthesia for an orchidopexy procedure. Resuscitation was successful 2 hours after the start of external cardiac compression and after correction of hyperkalaemia and the administration of dantrolene. He later developed myoglobinuria elevated creatine kinase and a metabolic and respiratory acidosis. He demonstrated a delayed increase in rectal temperature.
Chalkiadis
G A
GA
James Paget Hospital, Department of Anaesthesia, Great Yarmouth, Norfolk.
Branch
K G
KG
D000769:Anesthesia, Inhalation / Q000009:adverse effects*; D002648:Child; D006323:Heart Arrest / Q000209:etiology*; D006801:Humans; D007530:Isoflurane / Q000009:adverse effects*; D008297:Male; D009136:Muscular Dystrophies / Q000150:complications*; D011183:Postoperative Complications / Q000209:etiology*; D012151:Resuscitation; D012206:Rhabdomyolysis / Q000209:etiology
D007530:Isoflurane