Postoperative management

The most frequent postoperative presentations are severe prolonged muscle stiffness (the patient can be immobile for 1 to 2 days, with significantly more severe pain than is usually associated with 'scoline pains'), myoglobinuria with or without renal failure, and a pyrexia developing postoperatively. These signs are usually missed by the anesthetist at the time, and are frequently noticed at a subsequent anesthesia. If the prominent signs are of severe rhabdomyolysis, an EMG and a neurological opinion are needed to exclude a myopathic condition.

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