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Int. J. Pediatr. Otorhinolaryngol. · Sep 2005
Case ReportsSuccinylcholine-induced masseter muscle rigidity during bronchoscopic removal of a tracheal foreign body.
- Behzad Maghsoudi and Bijan Khademi.
- Department of Anesthesia, Shahid Faghihi Hospital, Shiraz University of Medical Sciences, Shiraz, Iran. maghsodb@sums.ac.ir
- Int. J. Pediatr. Otorhinolaryngol. 2005 Sep 1; 69 (9): 1283-5.
AbstractMasseter muscle rigidity during general anesthesia is considered an early warning sign of a possible episode of malignant hyperthermia. The decision whether to continue or discontinue the procedure depends on the urgency of the surgery and severity of masseter muscle rigidity. Here, we describe a case of severe masseter muscle rigidity (jaw of steel) after succinylcholine (Sch) administration during general anesthetic management for rigid bronchoscopic removal of a tracheal foreign body. Anesthesia was continued uneventfully with propofol infusion while all facilities were available to detect and treat malignant hyperthermia.
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