Anaesthesia and orphan disease

Reply to

“…6,7 When integrity of the cervical spine after trauma is in doubt, and immobilisation is difficult to obtain, movement of the head has to be avoided. In our patient, a neck collar was clearly not suitable for neck immobilisation (Fig.…”

“…Fibreoptic intubation seems to be the preferred method to secure the airway in patients with osteogenesis imperfecta. 7 Suxamethonium is contraindicated because it could result in fasciculationinduced fractures, possible triggering of malignant hyperthermia and lethal hyperkalaemic responses due to the upregulation of acetylcholine receptors in immobilised patients. 3 Therefore, in our view, the nonfasted patient with osteogenesis imperfecta is a clear indication for the use of rocuronium, with antagonism using sugammadex if necessary.…”