HYPERKALEMIC PERIODIC PARALYSIS AND ANESTHESIA

被引：23

作者：

ASHWOOD, EM

RUSSELL, WJ

BURROW, DD

机构：

[1] ROYAL ADELAIDE HOSP, DEPT ANAESTHESIA & INTENS CARE, N TERRACE, ADELAIDE, SA 5000, AUSTRALIA

[2] ROYAL ADELAIDE HOSP, DEPT NEUROL, ADELAIDE, SA 5000, AUSTRALIA

来源：

ANAESTHESIA | 1992年 / 47卷 / 07期

关键词：

COMPLICATIONS; HYPERKALEMIC PERIODIC PARALYSIS; PARAMYOTONIA;

D O I：

10.1111/j.1365-2044.1992.tb02327.x

中图分类号：

R614 [麻醉学];

学科分类号：

100217 ;

摘要：

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. Copyright © 1992, Wiley Blackwell. All rights reserved

引用

页码：579 / 584

页数：6

共 28 条

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