Suxamethonium and critical illness polyneuropathy

被引:16
作者
Hughes, M [1 ]
Grant, IS [1 ]
Biccard, B [1 ]
Nimmo, G [1 ]
机构
[1] Western Gen Hosp, Intens Care Unit, Edinburgh EH4 2XU, Midlothian, Scotland
关键词
intensive care : critical illness polyneuropathy; suxamethonium; hyperkalaemia; neuromuscular blockade; ventricular fibrillation;
D O I
10.1177/0310057X9902700614
中图分类号
R614 [麻醉学];
学科分类号
100217 ;
摘要
Administration of suxamethonium to patients with critical illness produce life-threatening hyper kalaemia. A questionnaire to assess the awareness of this problem was sent to all Uk intensive care units. A clinical scenario suggestive of critical illness polyneuropathy was accompanied by a list of possible drugs used to facilitate endotracheal intubation. Most respondents (68.7%) chose suxamethonium while 20.4% avoided any muscle relaxant. This result suggests a worrying lack of appreciation of the dangers of suxamethonium use in critical illness polyneuropathy.
引用
收藏
页码:636 / 638
页数:3
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