Preoperative, Intraoperative, and Postoperative Management:
In addition to the routine transplantation preparations for the donor and recipient, a carbohydrate-based diet was initiated for the patient. The appropriate intravenous (IV) anesthetics and neuromuscular blockers and IV hydration were administered to prevent the possible malignant hyperthermia and rhabdomyolysis. And Dantralone sodium was also kept available to prevent malignant hyperthermia. To reduce the risk of rhabdomyolysis, the rocuronium bromide was administered for the purpose of neuromuscular blockage. IV anesthetics (propofol and remiphentanil hydrochloride) were preferred instead of inhaler anesthetics. A dramatic decrease in CK and creatinine levels were observed in the follow-up postoperatively. The patient was discharged without complication on the 5th day. No rhabdomyolysis attacks or CK elevation was observed within the first month of postoperative (Table).