Postoperative rhabdomyolysis due to neuroleptic malignant syndrome associated with droperidol and metoclopramide
Autor(a) principal: | |
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Data de Publicação: | 2023 |
Outros Autores: | , , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Institucional da UNIFESP |
Texto Completo: | https://www.termedia.pl/Postoperative-rhabdomyolysis-due-to-neuroleptic-malignant-syndrome-associated-with-droperidol-and-metoclopramide,118,51786,1,1.html https://repositorio.unifesp.br/11600/70718 https://doi.org/10.5114/ait.2023.132910 |
Resumo: | Neuroleptic malignant syndrome (NMS) is a complication of neuroleptics that can rarely occur per operatively. A female patient, 28 years old, ASA I, was admitted for bilateral mammoplasty with breast implant. During the procedure, under sedation and thoracic epidural, she received droperidol and metoclopramide. After two hours, she evolved with myalgia, tachycardia, tachypnea, hyperthermia, and increased creatine kinase (CK) levels (9,702 IU/L). After supportive therapy, there was a complete improvement. A further extensive investigation with physical/neurological examination, baseline serum CK level, and electroneuromyography was normal. Molecular study for myopathies did not detect any pathogenic variant and the in vitro muscle contracture test for malignant hyperthermia was negative. Diagnosis of exclusion of NMS was performed. The anaesthesiologist must recognize NMS manifestations, allowing early treatment. |
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455Silva, Helga Cristina Almeida da [UNIFESP]Orfali, Guilherme di Camillo [UNIFESP]Machado, Henrique Louzan [UNIFESP]Andrade, Pamela Vieira [UNIFESP]Santos, Joilson Moura [UNIFESP]Silva, Mary dos Santos [UNIFESP]Amaral, José Luiz Gomes do [UNIFESP]http://lattes.cnpq.br/0844918862241102Poland2024-02-15T17:21:09Z2024-02-15T17:21:09Z2023-11-22Neuroleptic malignant syndrome (NMS) is a complication of neuroleptics that can rarely occur per operatively. A female patient, 28 years old, ASA I, was admitted for bilateral mammoplasty with breast implant. During the procedure, under sedation and thoracic epidural, she received droperidol and metoclopramide. After two hours, she evolved with myalgia, tachycardia, tachypnea, hyperthermia, and increased creatine kinase (CK) levels (9,702 IU/L). After supportive therapy, there was a complete improvement. A further extensive investigation with physical/neurological examination, baseline serum CK level, and electroneuromyography was normal. Molecular study for myopathies did not detect any pathogenic variant and the in vitro muscle contracture test for malignant hyperthermia was negative. Diagnosis of exclusion of NMS was performed. The anaesthesiologist must recognize NMS manifestations, allowing early treatment.Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)0012021_06180-710.5114/ait.2023.132910304-306https://www.termedia.pl/Postoperative-rhabdomyolysis-due-to-neuroleptic-malignant-syndrome-associated-with-droperidol-and-metoclopramide,118,51786,1,1.htmlSILVA, Helga Cristina Almeida da et al. Postoperative rhabdomyolysis due to neuroleptic malignant syndrome associated with droperidol and metoclopramide. Anaesthesiology Intensive Therapy. 2023;55(4):304-306.10.5114/ait.2023.1329101642-5758https://repositorio.unifesp.br/11600/70718https://doi.org/10.5114/ait.2023.132910engMirosław CzuczwarAnaesthesiology Intensive TherapyNeuroleptic malignant syndromeAnaesthesiaDroperidolMetoclopramidePostoperative rhabdomyolysis due to neuroleptic malignant syndrome associated with droperidol and metoclopramideinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleinfo:eu-repo/semantics/openAccessreponame:Repositório Institucional da UNIFESPinstname:Universidade Federal de São Paulo (UNIFESP)instacron:UNIFESPEscola Paulista de Medicina (EPM)CirurgiaNeurologia-NeurociênciasHipertermia malignaLICENSElicense.txtlicense.txttext/plain; charset=utf-85855https://repositorio.unifesp.br/bitstreams/5a0e82e2-9fbb-41bf-9d70-1736ab9ea46a/download8ac1e7cdd99f28d4820f54ad1d23727dMD52TEXTPostoperative rhabdomyolysis (1).pdf.txtPostoperative rhabdomyolysis (1).pdf.txtExtracted 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dc.title.pt_BR.fl_str_mv |
Postoperative rhabdomyolysis due to neuroleptic malignant syndrome associated with droperidol and metoclopramide |
title |
Postoperative rhabdomyolysis due to neuroleptic malignant syndrome associated with droperidol and metoclopramide |
spellingShingle |
Postoperative rhabdomyolysis due to neuroleptic malignant syndrome associated with droperidol and metoclopramide Silva, Helga Cristina Almeida da [UNIFESP] Neuroleptic malignant syndrome Anaesthesia Droperidol Metoclopramide |
title_short |
Postoperative rhabdomyolysis due to neuroleptic malignant syndrome associated with droperidol and metoclopramide |
title_full |
Postoperative rhabdomyolysis due to neuroleptic malignant syndrome associated with droperidol and metoclopramide |
title_fullStr |
Postoperative rhabdomyolysis due to neuroleptic malignant syndrome associated with droperidol and metoclopramide |
title_full_unstemmed |
Postoperative rhabdomyolysis due to neuroleptic malignant syndrome associated with droperidol and metoclopramide |
title_sort |
Postoperative rhabdomyolysis due to neuroleptic malignant syndrome associated with droperidol and metoclopramide |
author |
Silva, Helga Cristina Almeida da [UNIFESP] |
author_facet |
Silva, Helga Cristina Almeida da [UNIFESP] Orfali, Guilherme di Camillo [UNIFESP] Machado, Henrique Louzan [UNIFESP] Andrade, Pamela Vieira [UNIFESP] Santos, Joilson Moura [UNIFESP] Silva, Mary dos Santos [UNIFESP] Amaral, José Luiz Gomes do [UNIFESP] |
author_role |
author |
author2 |
Orfali, Guilherme di Camillo [UNIFESP] Machado, Henrique Louzan [UNIFESP] Andrade, Pamela Vieira [UNIFESP] Santos, Joilson Moura [UNIFESP] Silva, Mary dos Santos [UNIFESP] Amaral, José Luiz Gomes do [UNIFESP] |
author2_role |
author author author author author author |
dc.contributor.authorLattes.none.fl_str_mv |
http://lattes.cnpq.br/0844918862241102 |
dc.contributor.author.fl_str_mv |
Silva, Helga Cristina Almeida da [UNIFESP] Orfali, Guilherme di Camillo [UNIFESP] Machado, Henrique Louzan [UNIFESP] Andrade, Pamela Vieira [UNIFESP] Santos, Joilson Moura [UNIFESP] Silva, Mary dos Santos [UNIFESP] Amaral, José Luiz Gomes do [UNIFESP] |
dc.subject.eng.fl_str_mv |
Neuroleptic malignant syndrome Anaesthesia Droperidol Metoclopramide |
topic |
Neuroleptic malignant syndrome Anaesthesia Droperidol Metoclopramide |
description |
Neuroleptic malignant syndrome (NMS) is a complication of neuroleptics that can rarely occur per operatively. A female patient, 28 years old, ASA I, was admitted for bilateral mammoplasty with breast implant. During the procedure, under sedation and thoracic epidural, she received droperidol and metoclopramide. After two hours, she evolved with myalgia, tachycardia, tachypnea, hyperthermia, and increased creatine kinase (CK) levels (9,702 IU/L). After supportive therapy, there was a complete improvement. A further extensive investigation with physical/neurological examination, baseline serum CK level, and electroneuromyography was normal. Molecular study for myopathies did not detect any pathogenic variant and the in vitro muscle contracture test for malignant hyperthermia was negative. Diagnosis of exclusion of NMS was performed. The anaesthesiologist must recognize NMS manifestations, allowing early treatment. |
publishDate |
2023 |
dc.date.issued.fl_str_mv |
2023-11-22 |
dc.date.accessioned.fl_str_mv |
2024-02-15T17:21:09Z |
dc.date.available.fl_str_mv |
2024-02-15T17:21:09Z |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.pt_BR.fl_str_mv |
https://www.termedia.pl/Postoperative-rhabdomyolysis-due-to-neuroleptic-malignant-syndrome-associated-with-droperidol-and-metoclopramide,118,51786,1,1.html |
dc.identifier.citation.fl_str_mv |
SILVA, Helga Cristina Almeida da et al. Postoperative rhabdomyolysis due to neuroleptic malignant syndrome associated with droperidol and metoclopramide. Anaesthesiology Intensive Therapy. 2023;55(4):304-306. |
dc.identifier.uri.fl_str_mv |
https://repositorio.unifesp.br/11600/70718 https://doi.org/10.5114/ait.2023.132910 |
dc.identifier.doi.pt_BR.fl_str_mv |
10.5114/ait.2023.132910 |
dc.identifier.issn.pt_BR.fl_str_mv |
1642-5758 |
url |
https://www.termedia.pl/Postoperative-rhabdomyolysis-due-to-neuroleptic-malignant-syndrome-associated-with-droperidol-and-metoclopramide,118,51786,1,1.html https://repositorio.unifesp.br/11600/70718 https://doi.org/10.5114/ait.2023.132910 |
identifier_str_mv |
SILVA, Helga Cristina Almeida da et al. Postoperative rhabdomyolysis due to neuroleptic malignant syndrome associated with droperidol and metoclopramide. Anaesthesiology Intensive Therapy. 2023;55(4):304-306. 10.5114/ait.2023.132910 1642-5758 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.ispartof.en.fl_str_mv |
Anaesthesiology Intensive Therapy |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
304-306 |
dc.coverage.spatial.none.fl_str_mv |
Poland |
dc.publisher.none.fl_str_mv |
Mirosław Czuczwar |
publisher.none.fl_str_mv |
Mirosław Czuczwar |
dc.source.none.fl_str_mv |
reponame:Repositório Institucional da UNIFESP instname:Universidade Federal de São Paulo (UNIFESP) instacron:UNIFESP |
instname_str |
Universidade Federal de São Paulo (UNIFESP) |
instacron_str |
UNIFESP |
institution |
UNIFESP |
reponame_str |
Repositório Institucional da UNIFESP |
collection |
Repositório Institucional da UNIFESP |
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1803210223110848512 |