SUXAMETHONIUM BLOCK IN THE MYASTHENIC PATIENT - CORRELATION WITH PLASMA CHOLINESTERASE

被引:27
作者
BARAKA, A
机构
[1] Department of Anesthesiology, American University of Beirut, Beirut
关键词
NEUROMUSCULAR RELAXANTS; SUXAMETHONIUM; COMPLICATIONS; MYASTHENIA GRAVIS;
D O I
10.1111/j.1365-2044.1992.tb02122.x
中图分类号
R614 [麻醉学];
学科分类号
100217 ;
摘要
The neuromuscular block of suxamethonium 1.5 mg.kg−1 was investigated in three myasthenic patients (Class HA), undergoing thymectomy. Two of the patients were receiving pre‐operative pyridostigmine therapy. In the three patients, plasma cholinesterase activity was determined on the morning of surgery and was correlated with the neuromuscular response to suxamethonium as monitored by electromyography. The results suggest that the response to suxamethonium in the myasthenic patients can show wide variations according to the level of their plasma cholinesterase activity. The degree and duration of suxamethonium block is inversely related to the plasma cholinesterase activity. Copyright © 1992, Wiley Blackwell. All rights reserved
引用
收藏
页码:217 / 219
页数:3
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