Anesthesia, Resuscitation, and ICU: Q&A
in Health ·
Kevin Garcia12 said:@wiredpanther47
Pediatric protocols usually differ quite a bit from adult ones, and depending on how old the child is, those differences can vary significantly but regarding what was mentioned above ABSOLUTELY you have to make sure to emphasize this to the anesthesiologist during the pre-op consultation. Family medical history is something that often gets overlooked during checkups, but it's crucial. Otherwise, there's no way your spouse was being "woken up by electricity"—that isn't standard practice. It was most likely a TOF neurostimulator used to monitor muscle function during emergence. This could point to two things: 1) which is less likely—a colleague administered a slightly higher dose of the relaxant, or 2) which is more probable—there is a metabolic issue involved. I wouldn't want to jump to any definitive conclusions without seeing exactly what drugs were given, the dosages, and the timing, but some metabolic disorders that cause excessive intensity or prolonged relaxation are genetic. These can be passed down to children, so they really should be highlighted and noted in the medical records. That way, when an anesthesiologist works on the child, they know to exercise extra caution...
Oh man, reading that just made me even more anxious! Honestly, I'd prefer if she could just get it handled at our local clinic, ugh. As for the possibility of an overdose, that actually sounds plausible to me. My husband is an athlete—he's a big guy, about 250 lbs—so maybe they underestimated him and the dose was a bit too much? That’s what I’m really hoping is the case... ://///