Four patients with genetic cholinesterase abnormalities were studied with electromyography after being given suxamethonium 0.1 mg/kg. An abnormal homozygous patient was paralysed for 17 minutes. The duration of response in heterozygous patients was 2–4 minutes, being shorter when cholinesterase activity levels were near normal.
CassN.M., DoolanL.A., GutteridgeG.A.Repeated administration of suxamethonium in a patient with atypical cholinesterase. Anaesth Intens Care1982; 10: 25–28.
4.
SmithC., LewisG., DonatiF., BevanD.R.Dose-response relationship for succinylcholine in a patient with genetically determined low plasma cholinesterase activity. Anesthesiology1989; 70: 156–158.
5.
CheralaS.R., EddieD.N., SechzerP.H.Placental transfer of succinylcholine causing transient respiratory depression in the newborn. Anaesth Intens Care1989; 17: 202–204.
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Viby MogensenJ., HanelH.K.Prolonged apnoea after suxamethonium. An analysis of the first 225 cases reported to the Dansih Cholinesterase Research Unit. Acta Anaesth Scand1978; 22: 371–380.