| Hyperkalemic cardiac arrest after cardiopulmonary bypass in a child with unsuspected duchenne muscular dystrophy. | |
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MedLine Citation:
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PMID: 15728050 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Adverse reactions to volatile anesthetics and depolarizing muscle relaxants can occur in patients with Duchenne muscular dystrophy (DMD) resulting in acute rhabdomyolysis and hyperkalemia. We report a case of hyperkalemic cardiac arrest after cardiac surgery using cardiopulmonary bypass in a child with unsuspected DMD. Early diagnosis and management of hyperkalemia resulted in a successful outcome. Genetic testing confirmed the diagnosis of DMD. We recommend a thorough preoperative investigation, including creatine kinase estimation, in children with a history of unexplained motor delay. |
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Authors:
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Aruna Nathan; Arjunan Ganesh; Rodolfo I Godinez; Susan C Nicolson; William J Greeley |
Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: Anesthesia and analgesia Volume: 100 ISSN: 0003-2999 ISO Abbreviation: Anesth. Analg. Publication Date: 2005 Mar |
Date Detail:
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Created Date: 2005-02-24 Completed Date: 2005-03-18 Revised Date: 2005-11-22 |
Medline Journal Info:
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Nlm Unique ID: 1310650 Medline TA: Anesth Analg Country: United States |
Other Details:
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Languages: eng Pagination: 672-4, table of contents Citation Subset: AIM; IM |
Affiliation:
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Department of Anesthesiology and Critical Care Medicine, The Children's Hospital of Philadelphia, PA 19104-4399, USA. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Cardiopulmonary Bypass
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adverse effects* Child, Preschool Creatine Kinase / blood Heart Arrest / etiology* Humans Hyperkalemia / etiology* Male Muscular Dystrophy, Duchenne / complications* |
| Chemical | |
Reg. No./Substance:
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EC 2.7.3.2/Creatine Kinase |
| Comments/Corrections | |
Comment In:
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Anesth Analg. 2005 Nov;101(5):1561-2; author reply 1562
[PMID:
16244038
]
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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