The postoperative cardiovascular arrest of a 5-year-old male: an initial presentation of Duchenne's muscular dystrophy.
Anesthesia may be administered to patients with Duchenne's muscular dystrophy, but cases are reported in which apparently healthy children suffer hyperkalemic cardiac arrest. We present the case of a 5-year-old boy whose muscular dystrophy was discovered following a fatal, perioperative cardiac arrest in the postanesthesia care unit.
Girshin
Michael
M
Department of Anesthesiology, Montefiore Medical Center, New York, NY 10467, USA. mgirshin@montefiore.org
Mukherjee
Jana
J
Clowney
Ross
R
Singer
Lewis P
LP
Wasnick
John
J
D000758:Anesthesia / Q000009:adverse effects*; D018685:Anesthetics, Inhalation / Q000008:administration & dosage / Q000009:adverse effects; D018686:Anesthetics, Intravenous / Q000008:administration & dosage / Q000009:adverse effects; D001784:Blood Gas Analysis / Q000379:methods; D016887:Cardiopulmonary Resuscitation / Q000379:methods; D002675:Child, Preschool; D004562:Electrocardiography / Q000379:methods; D004569:Electroencephalography / Q000379:methods; D017809:Fatal Outcome; D005283:Fentanyl / Q000008:administration & dosage / Q000009:adverse effects; D006323:Heart Arrest / Q000209:etiology*; D006801:Humans; D006947:Hyperkalemia / Q000150:complications; D007530:Isoflurane / Q000008:administration & dosage / Q000009:adverse effects; D007546:Isoquinolines / Q000008:administration & dosage / Q000009:adverse effects; D008297:Male; D008738:Methyl Ethers / Q000008:administration & dosage / Q000009:adverse effects; D000077590:Mivacurium; D020388:Muscular Dystrophy, Duchenne / Q000150:complications*; D003473:Neuromuscular Nondepolarizing Agents / Q000008:administration & dosage / Q000009:adverse effects; D009609:Nitrous Oxide / Q000008:administration & dosage / Q000009:adverse effects; D011183:Postoperative Complications / Q000209:etiology*; D012206:Rhabdomyolysis / Q000150:complications; D000077149:Sevoflurane; D014673:Vecuronium Bromide / Q000008:administration & dosage / Q000009:adverse effects
D018685:Anesthetics, Inhalation; D018686:Anesthetics, Intravenous; D007546:Isoquinolines; D008738:Methyl Ethers; D003473:Neuromuscular Nondepolarizing Agents; D000077149:Sevoflurane; D000077590:Mivacurium; D014673:Vecuronium Bromide; D007530:Isoflurane; D009609:Nitrous Oxide; D005283:Fentanyl