Osteogenesis imperfecta and malignant hyperthermia - Is there a relationship?

被引:45
作者
Porsborg, P
Astrup, G
Bendixen, D
Lund, AM
Ording, H
机构
[1] UNIV COPENHAGEN,HERLEV HOSP,DEPT ANAESTHESIOL,DANISH MALIGNANT HYPERTHERMIA REGISTER,DK-2730 HERLEV,DENMARK
[2] ARHUS KOMMUNEHOSP,DEPT ANAESTHESIOL,COPENHAGEN,DENMARK
[3] RIGSHOSP,DEPT PEDIAT,DIV CLIN GENET,DK-2100 COPENHAGEN,DENMARK
关键词
anaesthetics; intravenous; hyperthermia; malignant; complications; osteogenesis imperfecta;
D O I
10.1111/j.1365-2044.1996.tb12619.x
中图分类号
R614 [麻醉学];
学科分类号
100217 ;
摘要
We describe a patient with osteogenesis imperfecta who developed tachycardia, metabolic and respiratory acidosis (pH 7.14, PCO2 8.4 kPa, BE -8.5 mmol.l(-1)) and hyperthermia up to 40 degrees C during anaesthesia with barbiturates, fentanyl, pancuronium, and nitrous oxide. Malignant hyperthermia was suspected and the patient treated accordingly. Two years later the in-vitro contracture test for malignant hyperthermia was completely normal. We conclude that hypermetabolism in patients with osteogenesis imperfecta is due to unknown mechanisms other than malignant hyperthermia.
引用
收藏
页码:863 / 865
页数:3
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