Image Based Question – 66281

A boy suffering from a condition as marked by an arrow in the picture below has to undergo tendon lengthening procedure. The most approp-riate anaesthetic would be ?

A. Induction with intravenous thiopentone and N20; and halothane for maintenance.

B. Induction with intravenous suxamethonim and N20; and oxygen for maintenance.

C. Induction with intravenous suxamethonium and N20; and halothane for maintenance.

D. Inhalation induction with inhalation halothane and N20; oxygen for maintenance.

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Correct Answer » A Explanation

Induction with intravenous thiopentone and N20; and halothane for maintenance.

In this boy with duchene muscular dystrophy, there is high risk of malignant hyperthermia. The earliest signs of malignant hyperthermia are masseter muscle rigidity (MMR), tachycardia, and hypercarbia due to increased CO2 production.