Requirements for muscle relaxation in Friedreich's ataxia

Anaesthesia
H MouloudiG Frantzeskos

Abstract

Friedreich's ataxia is an inherited disorder of the nervous system, requiring special care during anaesthesia, because of increased sensitivity to muscle relaxants. We report a case of Friedreich's ataxia in a 31-year-old woman, anaesthetised on two occasions, for tendinoplasty and pes cavus repair. Atracurium was used for neuromuscular blockade and monitored by a train-of-four twitch technique. The patient's response was normal. She returned to adequate spontaneous breathing within 20 min of the last dose of the muscle relaxant without need for anticholinesterase administration. When neuromuscular function is monitored, normal doses of muscle relaxant can safely be used in these patients.

References

Jan 1, 1991·International Anesthesiology Clinics·F M Ramsey
Jan 1, 1989·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·A M Campbell, G A Finley
Jun 1, 1986·Journal of the American College of Cardiology·J S ChildR A Kark

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Citations

Oct 22, 2005·Paediatric Anaesthesia·Hubert J SchmittDieter Heuss
Apr 15, 2005·Paediatric Anaesthesia·Carol Pancaro, Dieter Renz
Jan 1, 2014·Orphanet Journal of Rare Diseases·Louise A CorbenUNKNOWN Clinical Management Guidelines Writing Group

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