گزارش پاسخ خطرناک به سوکسینیل کولین در یک پسر 16 ساله

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.