Repeated Administration of Suxamethonium in a Patient with Atypical Plasma Cholinesterase

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Serum cholinesterase: effect on the action of suxamethonium following administration to a patient with cholinesterase deficiency.

Purified serum cholinesterase 90 mg was administered to a patient with cholinesterase deficiency. The effect on the action of suxamethonium was studied. The half-life (44.7 h), time constant (64.5 h), rate constant (0.0155 h-1) and distribution volume (2740 ml) of the cholinesterase activity were determined.

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Hexafluorenium-suxamethonium interaction in patients with normal versus atypical cholinesterase.

The effect of hexafluorenium 0.3 mg/kg on the neuromuscular block of suxamethonium 0.1 mg/kg in a child with homozygote atypical plasma cholinesterase activity and in one of his normal brothers has been compared. In the normal child, hexafluorenium produced a marked potentiation of suxamethonium block, while partially antagonizing the block in the atypical homozygote child. In both situations, ...

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Prolonged apnoea after suxamethonium in a Malaysian patient due to silent plasma cholinesterase--first case report.

A bnormal variants of plasma cholinesterase (ChE, EC. 3.1.1.8) are a rarity in this region and to date there is no reported case of suxamethonium sensz#vity in the Malaysian population. We now report a case of a Malaysian Indian patient who received suxamethonium, developed prolonged apnoea and on investigation was found to be a homozygote for the silent gene. His family was screened for abnorm...

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ژورنال

عنوان ژورنال: Anaesthesia and Intensive Care

سال: 1982

ISSN: 0310-057X,1448-0271

DOI: 10.1177/0310057x8201000106