THE CLINICAL IMPORTANCE OF HYPERKALAEMIA FOLLOWING SUXAMETHONIUM ADMINISTRATION
Autor: | H. Wüthrich, F. Roth |
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Rok vydání: | 1969 |
Předmět: |
Adult
Male Tetanus Road accident business.industry Succinylcholine Middle Aged medicine.disease Heart Arrest Anesthesiology and Pain Medicine Serum potassium Child Preschool Anesthesia Ventricular Fibrillation Circulatory system Ventricular fibrillation medicine Humans Hyperkalemia Female Potassium level business Aged Uremia |
Zdroj: | Roth, F.; Wüthrich, H. (1969). The clinical importance of hyperkalaemia following suxamethonium administration. British journal of anaesthesia, 41(4), pp. 311-316. Oxford University Press 10.1093/bja/41.4.311 |
ISSN: | 0007-0912 |
DOI: | 10.1093/bja/41.4.311 |
Popis: | SUMMARY A 3-year-old child with severe tetanus, at the end of the third week of illness, developed circulatory arrest after suxamethonium injection. A similar incident also occurred in an adult patient with tetanus. Both incidents were attributable to acute hyperkalacmia induced by suxamethonium. In another patient with severe tetanus, after injection of suxamethonium 100 mg, the potassium level rose within 2 minutes from 3.8 m.equiv/l. to 7.4 m.equiv/l. Cardiac arrest followed suxamethonium injection also in two patients with uraemia. One further patient developed ventricular fibrillation when given suxa-methonium three weeks after a road accident in which he sustained multiple injuries. It is suggested that in these last three instances the increase of serum potassium caused by the injected suxamethonium was responsible for the circulatory arrest. |
Databáze: | OpenAIRE |
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