• Paediatric anaesthesia · Dec 2005

    Case Reports

    Resistance to cisatracurium in a patient with MELAS syndrome.

    • Marie T Aouad, Frederic J Gerges, and Anis S Baraka.
    • Department of Anaesthesiology, American University of Beirut Medical Centre, Beirut, Lebanon. mm01@aub.edu.lb
    • Paediatr Anaesth. 2005 Dec 1;15(12):1124-7.

    AbstractThere are conflicting reports on the response of mitochondrial myopathy patients to the neuromuscular blocking drugs, showing either normal response or marked sensitivity. We present a patient with MELAS syndrome who underwent Nissen fundoplication and gastrojejunostomy. Marked resistance to the nondepolarizing muscle relaxant, cisatracurium was observed. The anesthesia management, as well as the various causes of resistance to cisatracurium in this patient are discussed.

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