THE CLINICAL IMPORTANCE OF HYPERKALAEMIA FOLLOWING SUXAMETHONIUM ADMINISTRATION

Autor: H. Wüthrich, F. Roth
Rok vydání: 1969
Předmět:
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