Clinical Pharmacogenetics Implementation Consortium ( CPIC ) Guideline for the Use of Potent Volatile Anesthetic Agents and Succinylcholine in the Context of RYR 1 or CACNA 1S Genotypes

The identification in a patient of 1 of the 50 variants in the RYR 1 or CACNA 1S genes reviewed here should lead to a presumption of malignant hyperthermia susceptibility (MHS). MHS can lead to life‐threatening reactions to potent volatile anesthetic agents or succinylcholine. We summarize evidence...

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Veröffentlicht in:Clinical pharmacology and therapeutics 2019-06, Vol.105 (6), p.1338-1344
Hauptverfasser: Gonsalves, Stephen G., Dirksen, Robert T., Sangkuhl, Katrin, Pulk, Rebecca, Alvarellos, Maria, Vo, Teresa, Hikino, Keiko, Roden, Dan, Klein, Teri E., Poler, S. Mark, Patel, Sephalie, Caudle, Kelly E., Gordon, Ronald, Brandom, Barbara, Biesecker, Leslie G.
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container_end_page 1344
container_issue 6
container_start_page 1338
container_title Clinical pharmacology and therapeutics
container_volume 105
creator Gonsalves, Stephen G.
Dirksen, Robert T.
Sangkuhl, Katrin
Pulk, Rebecca
Alvarellos, Maria
Vo, Teresa
Hikino, Keiko
Roden, Dan
Klein, Teri E.
Poler, S. Mark
Patel, Sephalie
Caudle, Kelly E.
Gordon, Ronald
Brandom, Barbara
Biesecker, Leslie G.
description The identification in a patient of 1 of the 50 variants in the RYR 1 or CACNA 1S genes reviewed here should lead to a presumption of malignant hyperthermia susceptibility (MHS). MHS can lead to life‐threatening reactions to potent volatile anesthetic agents or succinylcholine. We summarize evidence from the literature supporting this association and provide therapeutic recommendations for the use of these agents in patients with these RYR 1 or CACNA 1S variants (updates at https://cpicpgx.org/guidelines and www.pharmgkb.org ).
doi_str_mv 10.1002/cpt.1319
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title Clinical Pharmacogenetics Implementation Consortium ( CPIC ) Guideline for the Use of Potent Volatile Anesthetic Agents and Succinylcholine in the Context of RYR 1 or CACNA 1S Genotypes
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