ArticleJA clinical reports2018
Anesthetic management of a patient with methylmalonic acidemia: a case report.
Article in JA clinical reports, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Who cites it
3 citing papers in PubMed, 3 citations in OpenAlex.
- Clinical phenotypes and genetic mutation analysis of 45 neonatal-onset methylmalonic acidemia.Frontiers in pediatrics · 2026Article
- Ketamine and dexmedetomidine sedation for brain magnetic resonance imaging in methylmalonic acidemia.Indian journal of anaesthesia · 2021Article
- Anaesthetic considerations in a child with methylmalonic acidemia and its literature review.BMJ case reports · 2020Review
Corrections and comments
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Authors and funding
4 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundMethylmalonic acidemia (MMA) is a metabolic disorder of organic acids and is characterized by the accumulation of methylmalonic acids. CASE PRESENTATION: The patient was a 19-year-old female diagnosed with severe MMA at 3 days of age, who was scheduled for renal replacement therapy. Preoperatively, there was no evidence of metabolic acidosis or electrolyte abnormalities. Glucose was administered preoperatively following a 6-h fast. Anesthesia was administered using thiamylal, remifentanil, rocuronium, and sevoflurane. After tracheal intubation, the patient underwent an ultrasound-guided bilateral rectus sheath block with ropivacaine. A drop in blood sugar level was treated with 5% glucose. Extubation was performed after intravenous administration of sugammadex.
conclusionsWe report the anesthetic management of a patient with MMA using a combination of general anesthesia and rectus sheath block.
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