Life-threatening hyperkalaemia after succinylcholine

Succinylcholine induced hyperkalaemia in patients with strabismus.

Dangerous hyperkalaemia has been reported following administration of succinyleholine chloride (SCC) to patients with burns, 1,2 massive trauma, a tetanus, 4 and a variety of neuromuscular disorders. T M Recently, Tammisto, e t al., 8 reported increases in blood levels of creatine phosphokinase (CPK) following administration of succinyleholine in patients with strabismus and found them to be hi...

A case series of life-threatening succinylcholine-induced anaphylaxis

Successful Conservative Management of Trimethoprim Induced Life-Threatening Hyperkalaemia in a Patient with Pneumocystis jirovecii Pneumonia

Co-trimoxazole is a combination antibiotic made up of trimethoprim and sulphamethoxazole that is first line treatment for Pneumocystis jirovecii pneumonia (PJP). Hyperkalaemia is a relatively common side effect of the trimethoprim component of co-trimoxazole but it is not well recognised by clinicians. The mechanism of action causing hyperkalaemia due to trimethoprim is similar to the potassium...

Late Life-Threatening Hemorrhage after Percutaneous Tracheostomy

Purpose. Formation of a tracheoinnominate artery fistula (TIF) and consecutive hemorrhage is a rare and life-threatening complication with high mortality. Warning symptoms can be absent. The current literature contains only few considerations for misleading signs, especially in cases where the contact between the tissue and the cannula is tight. Method and Results. We report two cases of life-t...

Asystole after alfentanil- succinylcholine

To the Editor: Alfentanil is a new narcotic capable of blunting intraoperalive haemodynamic responses while allowing for return of spontaneous ventilation and consciousness after short surgical procedures. We have recently noted reports of severe bradycardia with the use of alfentanil combined with succinylcholine, t,2 We also present such a case. A 76-year-old 45 kg woman was scheduled for rem...