Case report: Succinylcholine induced masseter spasm.
รหัสดีโอไอ
Creator Dujduen Sriramatr
Title Case report: Succinylcholine induced masseter spasm.
Publisher Faculty of Medicine,Srinakharinwirot University
Publication Year 2549
Journal Title Journal of Medicine and Health Sciences
Journal Vol. 13
Journal No. 2
Page no. 217-224
Keyword malignant hyperthermia, succinylcholine, masseter spasm, volatile agents
ISSN 0859-3306
Abstract Masseter spasm is an important sign in anesthesia because it introduces difficulty inairway management. It may be the first sign of malignant hyperthermia which is fatal in mostcases. The trigger agents of malignant hyperthermia are succinylcholine and volatile anestheticagents. This is a case report of an 8-year-old boy with camptodactyly of left little finger. He hadundergone soft tissue release with K-wire fixation. After induction with 50%N2O in Oxygen andSevoflurane, succinylcholine was given for intubation.After that the anesthesiologist found thatmasseter muscle was rigid and could not open his mouth. Intubation was successfully done byusing non-depolarizing muscle relaxant (atracurium). The patient had uneventful anesthesia andoperation after intubation.
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