All of the textbooks of anesthesia have recently stated that
succinylcholine is contraindicated for routine using in children and youth
except for emergency tracheal intubation or in instance where immediate
securing of the airway in necessary. This study is a rare one about the
dangerous response of a 16 years old boy to succinylcholine in hernia
repair. The patient got to an unstable hemodynamic condition after
repeated dose of drug in operation room and after many hours he woke
with severe weakness muscle tone .
In investigation about his problem the cause of muscle lysis was
hyperkalemia(k=6.3 mEq/L) . Myglobinuria CPK=225000 U/L , LDH= 3000
U/L were remarkable about his problem. Finally the patient discharged in
good condition with an unknown myopathy diagnosis.
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