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Succinylcholine-Induced Masseter Muscle Rigidity Successfully Managed With Propofol and Laryngeal Mask Airway: A Case Report and Brief Review
Masseter muscle rigidity following administration of succinylcholine for induction of general anesthesia is considered an early warning sign for the possibility of an episode of dreaded complication i.e., malignant hyperthermia. This report describes a case of masseter muscle rigidity encountered at...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Cureus
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7444984/ https://www.ncbi.nlm.nih.gov/pubmed/32850244 http://dx.doi.org/10.7759/cureus.9376 |
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author | Sheikh, Muhammad Mubbashir Riaz, Adeel Umair, Hafiz M Waqar, Muhammad Muneeb, Ahmad |
author_facet | Sheikh, Muhammad Mubbashir Riaz, Adeel Umair, Hafiz M Waqar, Muhammad Muneeb, Ahmad |
author_sort | Sheikh, Muhammad Mubbashir |
collection | PubMed |
description | Masseter muscle rigidity following administration of succinylcholine for induction of general anesthesia is considered an early warning sign for the possibility of an episode of dreaded complication i.e., malignant hyperthermia. This report describes a case of masseter muscle rigidity encountered at the start of an emergency surgical procedure. After succinylcholine administration, laryngoscopy and intubation were not possible due to the masseter muscle spasms. This led to the use of laryngeal mask airway and propofol for the successful conclusion of the procedure with no intraoperative or postoperative complications. Later, the patient was discharged with instructions to avoid the contributing triggers in the future and recommendations of caffeine-muscle biopsy. |
format | Online Article Text |
id | pubmed-7444984 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | Cureus |
record_format | MEDLINE/PubMed |
spelling | pubmed-74449842020-08-25 Succinylcholine-Induced Masseter Muscle Rigidity Successfully Managed With Propofol and Laryngeal Mask Airway: A Case Report and Brief Review Sheikh, Muhammad Mubbashir Riaz, Adeel Umair, Hafiz M Waqar, Muhammad Muneeb, Ahmad Cureus Anesthesiology Masseter muscle rigidity following administration of succinylcholine for induction of general anesthesia is considered an early warning sign for the possibility of an episode of dreaded complication i.e., malignant hyperthermia. This report describes a case of masseter muscle rigidity encountered at the start of an emergency surgical procedure. After succinylcholine administration, laryngoscopy and intubation were not possible due to the masseter muscle spasms. This led to the use of laryngeal mask airway and propofol for the successful conclusion of the procedure with no intraoperative or postoperative complications. Later, the patient was discharged with instructions to avoid the contributing triggers in the future and recommendations of caffeine-muscle biopsy. Cureus 2020-07-24 /pmc/articles/PMC7444984/ /pubmed/32850244 http://dx.doi.org/10.7759/cureus.9376 Text en Copyright © 2020, Sheikh et al. http://creativecommons.org/licenses/by/3.0/ This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. |
spellingShingle | Anesthesiology Sheikh, Muhammad Mubbashir Riaz, Adeel Umair, Hafiz M Waqar, Muhammad Muneeb, Ahmad Succinylcholine-Induced Masseter Muscle Rigidity Successfully Managed With Propofol and Laryngeal Mask Airway: A Case Report and Brief Review |
title | Succinylcholine-Induced Masseter Muscle Rigidity Successfully Managed With Propofol and Laryngeal Mask Airway: A Case Report and Brief Review |
title_full | Succinylcholine-Induced Masseter Muscle Rigidity Successfully Managed With Propofol and Laryngeal Mask Airway: A Case Report and Brief Review |
title_fullStr | Succinylcholine-Induced Masseter Muscle Rigidity Successfully Managed With Propofol and Laryngeal Mask Airway: A Case Report and Brief Review |
title_full_unstemmed | Succinylcholine-Induced Masseter Muscle Rigidity Successfully Managed With Propofol and Laryngeal Mask Airway: A Case Report and Brief Review |
title_short | Succinylcholine-Induced Masseter Muscle Rigidity Successfully Managed With Propofol and Laryngeal Mask Airway: A Case Report and Brief Review |
title_sort | succinylcholine-induced masseter muscle rigidity successfully managed with propofol and laryngeal mask airway: a case report and brief review |
topic | Anesthesiology |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7444984/ https://www.ncbi.nlm.nih.gov/pubmed/32850244 http://dx.doi.org/10.7759/cureus.9376 |
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