BMJ Case Reports 2018; doi:10.1136/bcr-2018-225126
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Common anaesthetic agent causing an uncommon side effect

  1. Sahil Sanghi3
  1. 1 Department of Radiology, Dr D Y Patil Medical College and Hospital, Pune, Maharashtra, India
  2. 2 Department of Orthopaedics, Mohapatra Hospital, Ulhasnagar, Maharashtra, India
  3. 3 Department of Orthopaedics, Pandit Bhagwat Dayal Sharma Post Graduate Institute of Medical Sciences, Rohtak, Haryana, India
  1. Correspondence to Priyam Choudhury, priyamchoudhury28{at}
  • Accepted 30 May 2018
  • Published 10 June 2018


A 30-year-old man was brought to our trauma centre with a history of road traffic accident 1 hour back. He had sustained a right both bone forearm fracture and surgery in the form of open reduction internal fixation with plating was planned. The preoperative routine haematological and biochemical investigations revealed normal values and the patient was posted for surgery after achieving preanaesthetic fitness. General anaesthesia was induced with fentanyl and propofol 100 mg and maintained with nitrous oxide and vecuronium. Intraoperative period was uneventful with the fractures being treated with a 7-hole dynamic compression plate (DCP) for radius and a 6-hole DCP for ulna. Glycopyrrolate and neostigmine were used for the …

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