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).