Hyperkalaemic periodic paralysis and anaesthesia
| Autor: | D. D. Burrow, W. J. Russell, E. M. Ashwood |
|---|---|
| Rok vydání: | 1992 |
| Předmět: |
Adult
Male Anaesthetic management medicine.medical_specialty business.industry Metabolic disorder Hyperkalaemic periodic paralysis Anesthesia General medicine.disease Myotonia Paralyses Familial Periodic Pedigree Surgery Anesthesiology and Pain Medicine Anesthesia Paralysis medicine Humans Hyperkalemia Cholecystectomy Female medicine.symptom business |
| Zdroj: | Anaesthesia. 47:579-584 |
| ISSN: | 1365-2044 0003-2409 |
| Popis: | Summary Hyperkalaemic periodic paralysis is the rarer of the two forms of potassium-associated familial paralysis. We report a family with hyperkalaemic periodic paralysis with paramyotonia and the anaesthetic management of four affected members. In three of these, paralytic episodes had been precipitated by previous anaesthesia, but this was avoided in the anaesthetics described. We conclude from our experiences that with depletion of potassium before surgery, prevention of carbohydrate depletion, avoidance of potassium-releasing anaesthetic drugs and maintenance of normothermia, patients with hyperkalaemic periodic paralysis can be anaesthetised without complications. We have no evidence that they exhibit abnormal sensitivity to nondepolarising neuromuscular relaxants. |
| Databáze: | OpenAIRE |
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