Patient (condition)
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Suxamethonium spasm
If prolonged spasm, consider undiagnosed mytonic dystrophy. Neostigmine reversal may result in worsening of symptoms. Organise followup with neurologist. See case report refl.in/cz
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Aug 10, 2011
As many as 50% of patients with prolonged masseter spasm may be susceptible to malignant hyperthermia. Monitor temperature, vitals, and blood gases looking for signs of MH and treat accordingly.
www.ncbi.nlm.nih.gov/pubm... Anesth Analg. 1986 Feb;65(2):161-4. Masseter muscle rigidity and malignant hyperthermia susceptibility.
dx.doi.org/10.1046/j.1365...
and
Larach MG, Rosenberg H, Larach DR, Broennle AM. Prediction of malignant hyperthermia susceptibility by clinical signs. Anesthesiology 1987; 66: 547–50.
www.ncbi.nlm.nih.gov/pubm... Anesth Analg. 1986 Feb;65(2):161-4. Masseter muscle rigidity and malignant hyperthermia susceptibility.
dx.doi.org/10.1046/j.1365...
and
Larach MG, Rosenberg H, Larach DR, Broennle AM. Prediction of malignant hyperthermia susceptibility by clinical signs. Anesthesiology 1987; 66: 547–50.
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Nov 28, 2012