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Anasthesiol Intensivmed Notfallmed Schmerzther · Jan 2014
Case Reports[Residual relaxant block due to pseudocholinesterase deficiency - First manifestation in an elderly patient].
- Anasthesiol Intensivmed Notfallmed Schmerzther. 2014 Jan 1;49(1):8-11.
AbstractPseudocholinesterase or butyrylcholinesterase (BChE) inactivates the relaxant drugs mivacurium and suxamethonium. A deficiency in plasma activity of this enzyme may result in prolonged muscular paralysis and subsequently the need for an extended duration of mechanical ventilation. We report the case of a 65-year-old patient who was diagnosed with butyrylcholinesterase deficiency for the first time during elective surgery. Neuromuscular monitoring constitutes a central diagnostic asset in ensuring patient safety.© Georg Thieme Verlag Stuttgart · New York.
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