THE CLINICAL IMPORTANCE OF HYPERKALAEMIA FOLLOWING SUXAMETHONIUM ADMINISTRATION

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

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Suxamethonium causes an efflux of potassium (K+) ions by depolarizing acetylcholine receptors within the neuromuscular junction and produces a transient, small rise in serum K+ concentration in normal individuals that is usually of little clinical importance. Despite the clear efficacy and relative safety of suxamethonium in many patients, anaesthetists are also very aware that acute, severe hy...

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Suxamethonium-induced hyperkalaemia in a patient with a normal potassium level before rapid-sequence intubation.

The use of suxamethonium (succinylcholine) for rapid-sequence intubation may be limited by hyperkalaemia. Modest pre-induction hyperkalaemia is usually disregarded. We present a patient who underwent emergency surgery for a perforated peptic ulcer after being bedbound for 26 days because of a head injury. Serum potassium level was 4.0 mmol/L. The patient was intubated after injection of sedativ...

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Hyperkalaemia.

Hyperkalaemia is defined as serum potassium concentration greater than 5.5 mmol/l. Its prevalence in the general population is unknown, but it is thought to occur in 1-10% of patients admitted to hospital.1 The rate of morbidity and mortality associated with hyperkalaemia has risen greatly with the use of drugs that target the renin-angiotensin system, and since publication 10 years ago of a ra...

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ژورنال

عنوان ژورنال: British Journal of Anaesthesia

سال: 1969

ISSN: 0007-0912

DOI: 10.1093/bja/41.4.311