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Anesthetic induction trismus, more than a closed-mouth problem

, : Anesthetic induction trismus, more than a closed-mouth problem. Journal of Urology 136(3): 686-687

Trismus, or masseter hypertonia, that results from the use of succinylcholine during induction of anesthesia is a rare and dangerous phenomenon. It presents to the anesthesiologist the immediate problem of airway management but it also must be recognized by the physician as a harbinger of malignant hyperthermia. We report a case of induction trismus and discuss its association with malignant hyperthermia. The pathophysiology, diagnosis and treatment of malignant hyperthermia are reviewed.


PMID: 3735551

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