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Prolonged Apnoea Following E.C.T. Modified by Suxethonium (Brevidil “E”)

Published online by Cambridge University Press:  08 February 2018

J. C. Barker  and
Anne May
J. C. Barker
Affiliation:
Banstead Hospital, Sutton, Surrey
Anne May
Affiliation:
The Mental Hospitals' Group Laboratory, West Park Hospital, Epsom, Surrey
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Extract

There have been numerous reports in recent years of prolonged apnoea resulting from the use of suxamethonium (succinylcholine, “Scoline”) in general anaesthesia and for electroplexy. For example, Grant (16) described a case of respiratory paralysis lasting 2 to 3 post-operative days following an intravenous dose of 80 mg. of suxamethonium, and Cowan (7) reported a patient who underwent a partial gastrectomy and exhibited complete apnoea for 9 hours duration after only 25 mg. of suxamethonium had been given, and who subsequently died. Hurley and Monro (22) reported apnoea lasting for 10 minutes following 20 mg. of suxamethonium used as a relaxant for electroplexy, and for 20 minutes after decamethonium iodide.

Type
Original Articles
Information
Journal of Mental Science , Volume 105 , Issue 439 , April 1959 , pp. 496 - 503
Copyright
Copyright © Royal College of Psychiatrists, 1959 

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