Break the Spasm with Succinylcholine, but Risk Intraoperative Awareness with Undiagnosed Pseudocholinesterase Deficiency
Succinylcholine is a commonly used medication in all aspects of anesthetic care, and there are a number of known side effects and complications associated with its use. However, when succinylcholine is used emergently, anesthesia providers must remain vigilant to undiagnosed conditions that pose add...
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| Main Authors: | , |
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| Format: | Article |
| Language: | English |
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Wiley
2020-01-01
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| Series: | Case Reports in Anesthesiology |
| Online Access: | http://dx.doi.org/10.1155/2020/8874617 |
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| _version_ | 1849686903732830208 |
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| author | Danny D. Bui Shyamal R. Asher |
| author_facet | Danny D. Bui Shyamal R. Asher |
| author_sort | Danny D. Bui |
| collection | DOAJ |
| description | Succinylcholine is a commonly used medication in all aspects of anesthetic care, and there are a number of known side effects and complications associated with its use. However, when succinylcholine is used emergently, anesthesia providers must remain vigilant to undiagnosed conditions that pose additional risks to patients. We report the use of succinylcholine to treat acute, refractory laryngospasm after extubation leading to prolonged neuromuscular paralysis. There are unique challenges presented by this case including the risk of anesthesia awareness with recall due to the cognitive biases that prevent the clinical diagnosis of pseudocholinesterase deficiency. |
| format | Article |
| id | doaj-art-01145645ba6d4212984616bd09ce2e57 |
| institution | DOAJ |
| issn | 2090-6382 2090-6390 |
| language | English |
| publishDate | 2020-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Anesthesiology |
| spelling | doaj-art-01145645ba6d4212984616bd09ce2e572025-08-20T03:22:31ZengWileyCase Reports in Anesthesiology2090-63822090-63902020-01-01202010.1155/2020/88746178874617Break the Spasm with Succinylcholine, but Risk Intraoperative Awareness with Undiagnosed Pseudocholinesterase DeficiencyDanny D. Bui0Shyamal R. Asher1Rhode Island Hospital, Department of Anesthesiology, The Warren Alpert Medical School of Brown University, 593 Eddy St Davol 129, Providence, RI 02903, USARhode Island Hospital, Department of Anesthesiology, The Warren Alpert Medical School of Brown University, 593 Eddy St Davol 129, Providence, RI 02903, USASuccinylcholine is a commonly used medication in all aspects of anesthetic care, and there are a number of known side effects and complications associated with its use. However, when succinylcholine is used emergently, anesthesia providers must remain vigilant to undiagnosed conditions that pose additional risks to patients. We report the use of succinylcholine to treat acute, refractory laryngospasm after extubation leading to prolonged neuromuscular paralysis. There are unique challenges presented by this case including the risk of anesthesia awareness with recall due to the cognitive biases that prevent the clinical diagnosis of pseudocholinesterase deficiency.http://dx.doi.org/10.1155/2020/8874617 |
| spellingShingle | Danny D. Bui Shyamal R. Asher Break the Spasm with Succinylcholine, but Risk Intraoperative Awareness with Undiagnosed Pseudocholinesterase Deficiency Case Reports in Anesthesiology |
| title | Break the Spasm with Succinylcholine, but Risk Intraoperative Awareness with Undiagnosed Pseudocholinesterase Deficiency |
| title_full | Break the Spasm with Succinylcholine, but Risk Intraoperative Awareness with Undiagnosed Pseudocholinesterase Deficiency |
| title_fullStr | Break the Spasm with Succinylcholine, but Risk Intraoperative Awareness with Undiagnosed Pseudocholinesterase Deficiency |
| title_full_unstemmed | Break the Spasm with Succinylcholine, but Risk Intraoperative Awareness with Undiagnosed Pseudocholinesterase Deficiency |
| title_short | Break the Spasm with Succinylcholine, but Risk Intraoperative Awareness with Undiagnosed Pseudocholinesterase Deficiency |
| title_sort | break the spasm with succinylcholine but risk intraoperative awareness with undiagnosed pseudocholinesterase deficiency |
| url | http://dx.doi.org/10.1155/2020/8874617 |
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