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Total intravenous anaesthesia in a patient with familial hypokalaemic periodic paralysis*
Author(s) -
Hofer C.,
Zalunardo M. P.,
Zollinger A.
Publication year - 2001
Publication title -
anaesthesia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.839
H-Index - 117
eISSN - 1365-2044
pISSN - 0003-2409
DOI - 10.1111/j.1365-2044.2001.02268.x
Subject(s) - medicine , anesthesia , remifentanil , propofol , respiratory distress , bolus (digestion) , periodic paralysis , paralysis , sugammadex , surgery , rocuronium
A 35‐year‐old woman with known familial hypokalaemic periodic paralysis received general anaesthesia for reduction of bilateral breast hyperplasia. Uncomplicated general anaesthesia was performed using a propofol target‐controlled infusion, remifentanil infusion and bolus doses of mivacurium with neuromuscular function monitoring. Plasma potassium concentrations were controlled intermittently in the peri‐operative period and supplemented to achieve normokalaemia. Despite continuous substitution, an episode of low plasma potassium concentration occurred during the recovery period; this was without any clinical signs of muscle paralysis or respiratory distress.