Succinylcholine
A quaternary skeletal muscle relaxant usually used in the form of its bromide, chloride, or iodide. It is a depolarizing relaxant, acting in about 30 seconds and with a duration of effect averaging three to five minutes. Succinylcholine is used in surgical, anesthetic, and other procedures in which a brief period of muscle relaxation is called for.
Neuromuscular Depolarizing Agents
Neuromuscular Blocking Agents
Drugs that interrupt transmission of nerve impulses at the skeletal neuromuscular junction. They can be of two types, competitive, stabilizing blockers (NEUROMUSCULAR NONDEPOLARIZING AGENTS) or noncompetitive, depolarizing agents (NEUROMUSCULAR DEPOLARIZING AGENTS). Both prevent acetylcholine from triggering the muscle contraction and they are used as anesthesia adjuvants, as relaxants during electroshock, in convulsive states, etc.
Neuromuscular Nondepolarizing Agents
Drugs that interrupt transmission at the skeletal neuromuscular junction without causing depolarization of the motor end plate. They prevent acetylcholine from triggering muscle contraction and are used as muscle relaxants during electroshock treatments, in convulsive states, and as anesthesia adjuvants.
Vecuronium Bromide
Monoquaternary homolog of PANCURONIUM. A non-depolarizing neuromuscular blocking agent with shorter duration of action than pancuronium. Its lack of significant cardiovascular effects and lack of dependence on good kidney function for elimination as well as its short duration of action and easy reversibility provide advantages over, or alternatives to, other established neuromuscular blocking agents.
Androstanols
Fasciculation
Involuntary contraction of the muscle fibers innervated by a motor unit. Fasciculations can often by visualized and take the form of a muscle twitch or dimpling under the skin, but usually do not generate sufficient force to move a limb. They may represent a benign condition or occur as a manifestation of MOTOR NEURON DISEASE or PERIPHERAL NERVOUS SYSTEM DISEASES. (Adams et al., Principles of Neurology, 6th ed, p1294)
Intubation, Intratracheal
Pancuronium
Neuromuscular Blockade
The intentional interruption of transmission at the NEUROMUSCULAR JUNCTION by external agents, usually neuromuscular blocking agents. It is distinguished from NERVE BLOCK in which nerve conduction (NEURAL CONDUCTION) is interrupted rather than neuromuscular transmission. Neuromuscular blockade is commonly used to produce MUSCLE RELAXATION as an adjunct to anesthesia during surgery and other medical procedures. It is also often used as an experimental manipulation in basic research. It is not strictly speaking anesthesia but is grouped here with anesthetic techniques. The failure of neuromuscular transmission as a result of pathological processes is not included here.
Malignant Hyperthermia
Thiopental
Anesthesia, Inhalation
Tubocurarine
Anesthesia, General
Ulnar Nerve
Muscle Rigidity
Continuous involuntary sustained muscle contraction which is often a manifestation of BASAL GANGLIA DISEASES. When an affected muscle is passively stretched, the degree of resistance remains constant regardless of the rate at which the muscle is stretched. This feature helps to distinguish rigidity from MUSCLE SPASTICITY. (From Adams et al., Principles of Neurology, 6th ed, p73)
Decamethonium Compounds
Atracurium
gamma-Cyclodextrins
Halothane
A nonflammable, halogenated, hydrocarbon anesthetic that provides relatively rapid induction with little or no excitement. Analgesia may not be adequate. NITROUS OXIDE is often given concomitantly. Because halothane may not produce sufficient muscle relaxation, supplemental neuromuscular blocking agents may be required. (From AMA Drug Evaluations Annual, 1994, p178)
Nitrous Oxide
Preanesthetic Medication
Butyrylthiocholine
Anesthetics, Intravenous
Ultrashort-acting anesthetics that are used for induction. Loss of consciousness is rapid and induction is pleasant, but there is no muscle relaxation and reflexes frequently are not reduced adequately. Repeated administration results in accumulation and prolongs the recovery time. Since these agents have little if any analgesic activity, they are seldom used alone except in brief minor procedures. (From AMA Drug Evaluations Annual, 1994, p174)
Tachyphylaxis
Propofol
An intravenous anesthetic agent which has the advantage of a very rapid onset after infusion or bolus injection plus a very short recovery period of a couple of minutes. (From Smith and Reynard, Textbook of Pharmacology, 1992, 1st ed, p206). Propofol has been used as ANTICONVULSANTS and ANTIEMETICS.
Laryngismus
Anesthesia
Masticatory Muscles
Anesthesia Recovery Period
Parabens
Laryngeal Muscles
Fentanyl
Preservatives, Pharmaceutical
Dibucaine
Diaphragm
Thiocholine
Laryngoscopy
Anesthesia, Intravenous
Muscle Relaxants, Central
A heterogeneous group of drugs used to produce muscle relaxation, excepting the neuromuscular blocking agents. They have their primary clinical and therapeutic uses in the treatment of muscle spasm and immobility associated with strains, sprains, and injuries of the back and, to a lesser degree, injuries to the neck. They have been used also for the treatment of a variety of clinical conditions that have in common only the presence of skeletal muscle hyperactivity, for example, the muscle spasms that can occur in MULTIPLE SCLEROSIS. (From Smith and Reynard, Textbook of Pharmacology, 1991, p358)
Electronic Mail
Messages between computer users via COMPUTER COMMUNICATION NETWORKS. This feature duplicates most of the features of paper mail, such as forwarding, multiple copies, and attachments of images and other file types, but with a speed advantage. The term also refers to an individual message sent in this way.
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Effects of an intubating dose of succinylcholine and rocuronium on the larynx and diaphragm: an electromyographic study in humans. (1/306)
BACKGROUND: Paralysis of the vocal cords is one objective of using relaxants to facilitate tracheal intubation. This study compares the neuromuscular blocking effect of succinylcholine and rocuronium on the larynx, the diaphragm, and the adductor pollicis muscle. METHODS: Electromyographic response was used to compare the neuromuscular blocking effect of succinylcholine and rocuronium on the laryngeal adductor muscles, the diaphragm, and the adductor pollicis muscle. Sixteen patients undergoing elective surgery were anesthetized with propofol and fentanyl, and their tracheas were intubated without neuromuscular blocking agents. The recurrent laryngeal and phrenic nerves were stimulated at the neck. The electromyographic response was recorded from electrodes placed on the endotracheal tube and intercostally before and after administration of 1 mg/kg succinylcholine or 0.6 mg/kg rocuronium. RESULTS: The maximum effect was greater at the adductor pollicis (100 and 99%) than at the larynx (96 and 97%) and the diaphragm (94 and 96%) after administration of succinylcholine and rocuronium, respectively (P < or = 0.05). Onset time was not different between the larynx (58+/-10 s), the diaphragm (57+/-8 s), and the adductor pollicis (54+/-13 s), after succinylcholine (all mean +/- SD). After rocuronium, onset time was 124+/-39 s at the larynx, 130+/-44 s at the diaphragm, and 115+/-21 s at the adductor pollicis. After succinylcholine administration, time to 90% recovery was 8.3+/-3.2, 7.2+/-3.5, and 9.1+/-3.0 min at the larynx, the diaphragm, and the adductor pollicis, respectively. Time to 90% recovery after rocuronium administration was 34.9+/-7.6, 30.4+/-4.2, and 49.1+/-11.4 min at the larynx, the diaphragm, and the adductor pollicis, respectively. CONCLUSION: Neuromuscular blocking effect of muscle relaxants on the larynx can be measured noninvasively by electromyography. Although the larynx appears to be resistant to muscle relaxants, we could not demonstrate that its onset time differed from that of peripheral muscles. (+info)Halothane induces calcium release from human skinned masseter muscle fibers. (2/306)
BACKGROUND: An increase in masseter muscle tone in response to halothane or succinylcholine anesthesia (or both) can be observed in healthy persons. Thus the authors compared the fiber-type halothane and succinylcholine sensitivities in human masseter and vastus lateralis muscles. METHODS: Masseter and vastus lateralis muscle segments were obtained from 13 and 9 healthy persons, respectively. After chemical skinning of a single fiber and loading the sarcoplasmic reticulum with Ca++ 0.16 microM solution, halothane (0.5-4 vol% bubbled in the incubating solution), succinylcholine (0.1 microM to 10 mM), or both sensitivities were defined as the concentration inducing more than 10% of the maximum tension obtained by application of 16 microM Ca++ solution. The myofilament response to Ca++ was studied with and without halothane by observing the isometric tension of skinned masseter fibers challenged with increasing concentrations of Ca++. Muscle fiber type was determined by the difference in strontium-induced tension measurements. RESULTS: A significant difference in halothane sensitivity was found between type 1 masseter fibers (0.6+/-0.2 vol%; mean +/- SD) versus type 1 (2.7+/-0.6 vol%) and type 2 vastus lateralis muscle (2.5+/-0.4 vol%). Succinylcholine did not induce Ca++ release by the sarcoplasmic reticulum. In the masseter muscle, 0.75 vol% halothane decreased the maximal activated tension by 40% but did not change the Ca++ concentration that yields 50% of the maximal tension. CONCLUSIONS: The very low halothane threshold for Ca++ release from the masseter muscle usually could be counteracted by a direct negative inotropic effect on contractile proteins. However, halothane may increase the sensitivity of the sarcoplasmic reticulum Ca++ release to succinylcholine-induced depolarization, leading to an increase in masseter muscle tone. (+info)Characteristics of recombinant human butyrylcholinesterase. (3/306)
AIM: To study the biochemical-pharmacological properties of the recombinant human butyrylcholinesterase (rhBChE) and thereby to size up the potential possibility of using it as a detoxifying agent in succinylcholine intoxication. METHODS: CHO-dhfr cells were transfected with plasmids by electroporation. BChE activity was determined colorimetrically by 5, 5'-dithiobis-(2-nitrobenzoic acid) (DTNB) method. Antigenicity was estimated by enzyme-linked immunosorbent assay and Western blot. RESULTS: The maximal expression amounted to 25.83 ng.h-1/10(6) cells. The rhBChE was highly similar to the native human BChE (nhBChE) in terms of its catalytic property, substrate affinity, inhibitor sensitivity, reactivation, stability, and immunoreactivity with anti-nhBChE antibodies. Mice challenged with 1.5 lethal dose of succinylcholine preincubated with rhBChE survived without any symptoms of intoxication. CONCLUSION: The rhBChE and nhBChE exhibit similar biochemical-pharmacological features. It is of potential value in practical use. (+info)Comparison of intubating conditions after rapacuronium (Org 9487) and succinylcholine following rapid sequence induction in adult patients. (4/306)
We have assessed intubating conditions provided by rapacuronium (Org 9487) and succinylcholine after rapid sequence induction of anaesthesia in adult patients undergoing elective surgery. We studied 335 patients, ASA I and II, in five centres. Two hundred and thirty-four subjects with normal body weight and 101 obese subjects were allocated randomly to one of four treatment groups differing in the neuromuscular blocking drug administered (rapacuronium 1.5 mg kg-1 or succinylcholine 1 mg kg-1) and in the technique used for induction of anaesthesia (fentanyl 2-3 micrograms kg-1 with thiopental 3-6 mg kg-1 or alfentanil 20 micrograms kg-1 with propofol 1.5-2 mg kg-1). Intubation was started at 50 s by an anaesthetist blinded to the drugs used. Intubating conditions were clinically acceptable (excellent or good) in 89.4% of patients after rapacuronium and in 97.4% after succinylcholine (P = 0.004), the estimated difference being 8.1% (95% confidence interval (CI) 2.0-14.1%). Neither anaesthetic technique nor subject group had an influence on intubating conditions. After intubation, the maximum increase in heart rate averaged 23.1 (SD 25.4%) and 9.4 (26.1%) after rapacuronium and succinylcholine, respectively (P < 0.001). Pulmonary side effects (bronchospasm and increased airway pressure) were observed in 10.7% (95% CI 5.8-17%) and 4.1% (95% CI 1.3-8.8%) of patients given rapacuronium and succinylcholine, respectively (P = 0.021). We conclude that after rapid sequence induction of anaesthesia in adults, clinically acceptable intubating conditions were achieved less frequently after rapacuronium 1.5 mg kg-1 than after succinylcholine. (+info)Hemodynamic and metabolic manifestations of acute endotoxin infusion in pigs with and without the malignant hyperthermia mutation. (5/306)
BACKGROUND: The hypermetabolic state induced by acute endotoxemia and malignant hyperthermia (MH) may be indistinguishable. The aims of this study were (1) to investigate the differences between MH and sepsis, (2) to determine whether acute endotoxemia can trigger MH, and (3) to establish the effects of dantrolene in these two disorders. METHODS: Three groups of swine were studied. All pigs were invasively monitored and initially anesthetized with nontriggering agents. A placebo MH-susceptible group (n = 5) received normal saline whereas the endotoxin groups (MH-susceptible, n = 6; MH-negative, n = 4) received intravenous endotoxin (250 microg/kg total) during 2.5 h. Halothane (1.5%) and succinylcholine (2-4 mg/kg) were then administered, followed by two doses of dantrolene (4 mg/kg total). RESULTS: Endotoxin infusion resulted in pulmonary hypertension and systemic hypotension in pigs with and without the MH mutation, but did not trigger MH. Halothane and succinylcholine triggered MH, evidenced by a markedly higher oxygen consumption in the MH-susceptible pigs that received endotoxin (325+/-196 ml/min) and those that did not (374+/-110 ml/min) compared to the MH-negative pigs (69+/-15 ml/min, P<0.0009), as well as muscular rigidity in the susceptible animals. Dantrolene reversed these changes. Three of the six MH-susceptible pigs that received endotoxin died; two died soon after triggering and one after dantrolene administration. In contrast, none of the MH-negative pigs or the MH-susceptible pigs that did not receive endotoxin died (0 of 9 vs. 3 of 6, P = 0.044). CONCLUSION: Endotoxemia does not trigger MH, but may worsen outcome if it occurs. (+info)Effect of rocuronium compared with succinylcholine on intraocular pressure during rapid sequence induction of anaesthesia. (6/306)
We have compared the effect of rocuronium and succinylcholine on intraocular pressure (IOP) during rapid sequence induction of anaesthesia using propofol and fentanyl, in a randomized double-blind study. We studied 30 adult patients, allocated to one of two groups. Anaesthesia was induced with fentanyl 2 micrograms kg-1 and propofol until loss of verbal response. This was followed by succinylcholine 1.5 mg kg-1 (group S; n = 15) or rocuronium 0.9 mg kg-1 (group R; n = 15). Laryngoscopy was performed 60 s later. IOP, mean arterial pressure (MAP) and heart rate (HR) were measured before induction, immediately before intubation and every minute after intubation for 5 min. A Keeler Pulsair air impulse tonometer was used to measure IOP and the mean of two readings obtained in the right eye at each measurement time was recorded. Intubating conditions were evaluated according to a simple scoring system. IOP in the succinylcholine group was significantly greater than that in the rocuronium group (mean 21.6 (SEM 1.4) mm Hg vs 13.3 (1.4) mm Hg; P < 0.001). Intubating conditions were equally good in both groups. We conclude that with rapid sequence induction of anaesthesia using propofol and fentanyl, rocuronium did not cause as great an increase in IOP as succinylcholine and may be an alternative in open eye injury cases. (+info)Intramuscular rapacuronium in infants and children: dose-ranging and tracheal intubating conditions. (7/306)
BACKGROUND: Intravenous rapacuronium's rapid onset and short duration suggest that intramuscular rapacuronium might facilitate tracheal intubation without prolonged paralysis. Accordingly, the authors injected rapacuronium into the deltoid muscle to determine the optimal dose and time for intubation in pediatric patients. METHODS: Unpremedicated patients (aged, 2 months to 3 yr) were studied. Part I: Spontaneous minute ventilation (V(E)) and twitch tension were measured during N2O/halothane anesthesia. Rapacuronium (2.2-5.5 mg/kg, given intramuscularly, n = 23), succinylcholine (4 mg/kg, given intramuscularly, n = 12), or vecuronium (0.1 mg/kg, given intravenously, n = 15) was given. Time to 50% depression of V(E) and 10% recovery of twitch were measured. Dose for each patient was changed 10-20% according to the previous patient's response. Part II: In 22 patients anesthetized with 0.82-1.0% halothane, the optimal rapacuronium dose determined in part I (infants, 2.8 mg/kg; children, 4.8 mg/kg) was given intramuscularly. Laryngoscopy was scored. Time to laryngoscopy was increased or decreased 0.5 min according to the previous patient's response. RESULTS: Part I: Rapacuronium typically depressed ventilation in < or = 2 min with 10% twitch recovery in 20-60 min. With succinylcholine, median time to ventilatory depression was 1.3 and 1.1 min for infants and children, respectively; for vecuronium, 0.7 and 0.6 min. Part I: Intubating conditions were good-excellent at 3.0 and 2.5 min in infants and children, respectively; time to 10% twitch recovery (mean +/- SD) was 31 +/- 14 and 36 +/- 14 min in the two groups. CONCLUSIONS: This pilot study indicates that deltoid injection of rapacuronium, 2.8 mg/kg in infants and 4.8 mg/kg in children, permits tracheal intubation within 2.5-3.0 min, despite a light plane of anesthesia. Duration of action is intermediate. (+info)Comparison of the intubation conditions provided by rapacuronium (ORG 9487) or succinylcholine in humans during anesthesia with fentanyl and propofol. (8/306)
BACKGROUND: Currently, the only approved muscle relaxant with a rapid onset and short duration of action is succinylcholine, a drug with some undesirable effects. Rapacuronium is an investigational nondepolarizing relaxant that also has a rapid onset and short duration and consequently should be compared with succinylcholine in its ability to facilitate rapid tracheal intubation. METHODS: This prospective, randomized clinical trial involved 336 patients. Anesthesia was induced with fentanyl and propofol and either 1.5 mg/kg rapacuronium or 1.0 mg/kg succinylcholine. The goal was to accomplish tracheal intubation by 60 s after administration of the neuromuscular blocking drug. Endotracheal intubation was performed, and conditions were graded by a blinded investigator. Recovery of neuromuscular function was assessed by electromyography. RESULTS: Intubation conditions were evaluated in 236 patients. Intubation by 60 s after drug administration occurred in 100% of patients with rapacuronium and in 98% with succinylcholine. Intubation conditions were excellent or good in 87% of patients with rapacuronium and in 95% with succinylcholine (P < 0.05). The time (median and range) to the first recovery of the train-of-four response was 8.0 (2.8-20.0) min with rapacuronium and 5.7 (1.8-17.7) min with succinylcholine (P < 0.05). The overall incidence of adverse effects was similar with both drugs. CONCLUSIONS: A 1.5-mg/kg dose of rapacuronium effectively facilitates rapid tracheal intubation. It can be considered a valid alternative to 1.0 mg/kg succinylcholine for this purpose. (+info)
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Can I be allergic to Succinylcholine?
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Suxamethonium chloride
"Succinylcholine Chloride". The American Society of Health-System Pharmacists. Archived from the original on 21 December 2016. ... Tran DT, Newton EK, Mount VA, Lee JS, Wells GA, Perry JJ (October 2015). "Rocuronium versus succinylcholine for rapid sequence ... Instead in 1949 an Italian group led by Daniel Bovet was first to describe succinylcholine induced paralysis. The clinical ... Suxamethonium chloride, also known as suxamethonium or succinylcholine, is a medication used to cause short-term paralysis as ...
James Edward Cottrell
Cottrell, JE; Hartung, JE; Giffin, JP; Shwiry, B (1983). "Intracranial and Hemodynamic Changes after Succinylcholine ... Cottrell, James E. (2018). "Succinylcholine and Intracranial Pressure". The American Society of Anesthesiologists, Inc. Classic ...
Neuromuscular-blocking drug
Succinylcholine may also trigger malignant hyperthermia in rare cases in patients who may be susceptible. In depolarizing the ... An example is succinylcholine. Depolarizing blocking agents work by depolarizing the plasma membrane of the muscle fiber, ... Just like acetylcholine, succinylcholine, decamethonium and other polymethylene chains, of the appropriate length and with two ... Keeping the distance in mind the structure of the chain can vary (double bonded, cyclohexyl, benzyl, etc.) Succinylcholine has ...
Atracurium besilate
It can also be used to help with endotracheal intubation but suxamethonium (succinylcholine) is generally preferred if this ... Bele-Binda N, Valeri F (Jan 1971). "A case of bronchospasm induced by succinylcholine". Canadian Anaesthetists' Society Journal ... Cardan E, Deacu E (Jan 1972). "Bronchospasm following succinyl choline". Anaesthesist. 21 (1): 27-29. PMID 4111555. Yeung ML, ... tubocurarine and succinylcholine, as well as alcuronium, pancuronium, vecuronium, and gallamine. Seizures rarely occur. Because ...
Lambert-Eaton myasthenic syndrome
... prolonged apnoea after administration of succinylcholine". Lancet. 265 (6799): 1291-3. doi:10.1016/S0140-6736(53)91358-0. PMID ...
Fasciculation
The depolarizing neuromuscular blocker succinylcholine causes fasciculations. It is a normal side effect of the drug's ... can be prevented with a small dose of a nondepolarizing neuromuscular blocker prior to the administration of succinylcholine, ...
Rapid sequence induction
Therefore, succinylcholine can be given within the first 24 hours of injury. The increase in succinylcholine sensitivity ... This only happens when succinylcholine is administered. For those who had history of receiving succinylcholine and developed ... the succinylcholine effect is minimal and dose reduction is not needed. The most significant side effect of succinylcholine is ... Succinylcholine - This drug has rapid onset of action and fast duration. Its dosages are between 1 and 2 mg/kg body weight with ...
Metaxalone
Choline derivatives: Suxamethonium (Succinylcholine). *Polyalkylene derivatives: Hexamethonium. ACh release inhibitors. * ...
Botulinum toxin
Choline derivatives: Suxamethonium (Succinylcholine). *Polyalkylene derivatives: Hexamethonium. ACh release inhibitors. * ...
Muscle relaxant
Alternatively, depolarizing agents, such as succinylcholine, are nicotinic receptor agonists which mimic Ach, block muscle ...
Dimethyltubocurarinium chloride
Choline derivatives: Suxamethonium (Succinylcholine). *Polyalkylene derivatives: Hexamethonium. ACh release inhibitors. * ...
Rocuronium bromide
Tran, DT; Newton, EK; Mount, VA; Lee, JS; Wells, GA; Perry, JJ (29 October 2015). "Rocuronium versus succinylcholine for rapid ...
Postoperative residual curarization
Succinylcholine is the only depolarizing NMBA available for clinical use. It produces a neuromuscular blockade that is the ... When a continuous infusion, repeated doses, or a large dose of succinylcholine (>4 mg/kg) is used, the risk of a Phase II block ... TOF fade is indicative of phase II block that is likely to occur in patients who received succinylcholine and may resemble ... Tran DT, Newton EK, Mount VA, Lee JS, Wells GA, Perry JJ (29 October 2015). "Rocuronium versus succinylcholine for rapid ...
Nicotinic antagonist
Succinylcholine is a nicotinic agonist. See neuromuscular blocking agents page for details on the mechanism of action. ...
Intraosseous infusion
... and intravenous administration of succinylcholine". Pediatric Emergency Care. 5 (4): 209-210. doi:10.1097/00006565-198912000- ...
Wouter Basson
... succinylcholine, and tubocurarine. In 2021, the revelation that he was working at a Western Cape Mediclinic facility caused ...
Neuromuscular blocking agents
Succinylcholine interacts with nicotinic receptor to open the channel and cause depolarization of the end plate, which later ... Later, since succinylcholine is not able to be metabolised and removed effectively at the synapse, the depolarized membranes ... Use of succinylcholine infusion or repeated bolus administration increase the risk of Phase II block and prolonged paralysis. ... Options include succinylcholine, rocuronium or vecuronium if sugammadex is available for rapid reversal block. Any short or ...
List of serial killers by country
Death"; killed six people with succinylcholine in the town of Dhom. Raman Raghav (1929-1995): also known as "Psycho Raman"; ...
Gerhard Werner
He was instrumental in introducing the neuropharmacological use of Succinylcholine. Werner became Chairman of the Pharmacology ...
Lethal injection
Other drugs in use are succinylcholine chloride and tubocurarine chloride. Pancuronium bromide is a derivative of the alkaloid ...
Meriter Hospital
"Succinylcholine in the Critically Ill Patient: When Is It Not OK+?" (Chapter 5). In: Canaday, Bruce Robert. ASHP's Clinical ...
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The succinylcholine is delivered through a hypodermic needle disguised as a pen. Twisting the nib switches the tip from a ... To carry out the assassinations, the brothers are issued a weapon utilizing succinylcholine, developed by a Columbia University ...
Trismus
Succinyl choline, phenothiazines and tricyclic antidepressants causes trismus as a secondary effect. Trismus can be seen as an ...
Vecuronium bromide
It is also used to help with endotracheal intubation; however, suxamethonium (succinylcholine) is generally preferred if this ...
Acetylcholinesterase inhibitor
Anaesthesia: Cholinesterase inhibitors are likely to exaggerate succinylcholine-type muscle relaxation during anaesthesia. 5. ...
Clindamycin
... may prolong the effects of neuromuscular-blocking drugs, such as succinylcholine and vecuronium. Its similarity to ...
بازدارنده آنزیم - ویکیپدیا، دانشنامهٔ آزاد
Succinylcholine) • Thiocolchicoside • Toxiferine • تری متافان • Tropeinium • Tubocurarine • وکرونیوم • زنون ...
Flurothyl
Premedication with pentothal and succinylcholine chloride, as is customary in ECT, was tested and found safe. Four random ...
succinylcholine - Everything2.com
... succinylcholine is a depolarizing muscle relaxant, first used in 1951 as a muscle relaxant. It is still used today for rapid ... Succinylcholine is essentially two acetylcholine molecules joined together and as it resembles the ACh molecule, it binds to ... Marketed as Suxamethonium, succinylcholine is a depolarizing muscle relaxant, first used in 1951 as a muscle relaxant. It is ... the duration of action will be much longer and succinylcholine should be avoided in these people if possible. Also be careful ...
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Succinylcholine
... , Succinyldicholine, Suxamethonium, succinylcholine, Succinylcholine [Chemical/Ingredient], Ethanaminium, 2,2 ... Ontology: Succinylcholine. (C0038627) Definition (NCI) A quaternary ammonium compound and depolarizing agent with short-term ... 1,4-dioxo-1,4-butanediyl)bis(oxy))bis(N,N,N-trimethyl)-, suxamethonium, SUCCINYLCHOLINE, Succinylcholine (product), ... Succinylcholine is used in surgical, anesthetic, and other procedures in which a brief period of muscle relaxation is called ...
Can I be allergic to Succinylcholine?
... succinylcholine, surgery - Answer: There is no need to worry unless you ever need surgery. In which case you ... ... Can I be allergic to Succinylcholine?. Asked. 13 Feb 2010 by loveisfate. Active. 23 Feb 2010. Topics. succinylcholine, surgery ... Succinylcholine - GOOD INFO about SUCCINYLCHOLINE Read this story?. Posted 26 Jun 2013 • 4 answers ... Side Effects of Succinylcholine (detailed). Search for questions. Still looking for answers? Try searching for what you seek or ...
Succinylcholine | Memorial Sloan Kettering Cancer Center
Эту информацию не следует использовать для принятия решения о приеме этого или любого другого препарата. Только лечащий врач обладает необходимыми знаниями и опытом, чтобы принимать решения о том, какие препараты подходят для конкретного пациента. Данная информация не является гарантией того, что препарат безопасен, эффективен или одобрен для лечения каких-либо заболеваний или конкретных пациентов. Здесь приведены лишь краткие сведения общего характера об этом препарате. Здесь НЕ приводится вся имеющаяся информация о возможном ...
Succinylcholine - Side effect(s)
Read the side effects of Succinylcholine as described in the medical literature. In case of any doubt consult your doctor or ... Succinyl Choline Chloride (Ciron Drugs & Pharmaceuticals Pvt. Ltd.) Succin (Harson Labs Pvt Ltd) Succinyl Choline Chloirde (DCI ... Side effect(s) of Succinylcholine Read the side effects of Succinylcholine as described in the medical literature. In case of ... Succinylcholine - Information. Succinylcholine is a depolarizing muscle relaxant, used for induction and maintenance of general ...
Succinylcholine chloride | C14H30Cl2N2O4 - PubChem
Succinylcholine Injection Drug Shortage Notice - Drugs.com
Current drugs shortage notification for Succinylcholine Injection including reason for shortage, estimated resupply dates, and ... During this shortage, clinicians should reserve supplies of succinylcholine for procedures where succinylcholine is the agent ... Succinylcholine Injection. Last Updated: May 26, 2016. Status: Resolved. Products Affected - Description * *Anectine injection ... Succinylcholine chloride injection is a depolarizing neuromuscular blocking agent and is typically a drug of choice for short ...
Succinylcholine dictionary definition | succinylcholine defined
succinylcholine definition: nounA crystalline compound, C14H30N2O4, formed by esterification of succinic acid with choline and ... used medically to produce brief but complete muscular relaxation during surgical anesthesia.Origin of succinylcholine succin(ic ... succinylcholine. suc·cin·yl·cho·line. noun. A crystalline compound, C14H30N2O4, formed by esterification of succinic acid with ... "succinylcholine." YourDictionary, n.d. Web. 22 January 2019. ,https://www.yourdictionary.com/succinylcholine,. ...
Succinylcholine-assisted intubations in prehospital care
... Ann Emerg Med. 1988 May;17(5):469-72. doi: 10.1016/s0196-0644(88)80238 ... Succinylcholine-assisted intubation was used safely and selectively by the paramedics in this EMS system to permit airway ... We report the recent experience of an emergency medical service system that has used succinylcholine (SUX) for more than ten ...
Succinylcholine (Anectine, Quelicin) | Davis's Drug Guide
Find information on Succinylcholine (Anectine, Quelicin) in Daviss Drug Guide including dosage, side effects, interactions, ... succinylcholine is a topic covered in the Daviss Drug Guide. To view the entire topic, please log in or purchase a ... "Succinylcholine." Daviss Drug Guide, 16th ed., F.A. Davis Company, 2020. Washington Manual, www.unboundmedicine.com/ ... washingtonmanual/view/Davis-Drug-Guide/51711/11.0/succinylcholine. Vallerand AHA, Sanoski CAC, Quiring CC. Succinylcholine. ...
Succinylcholine - SNPedia
Muscle Relaxation With Succinylcholine in Electroconvulsive... : Anesthesia & Analgesia
Muscle Relaxation With Succinylcholine in Electroconvulsive Therapy. Li, Erin H. MD; Bryson, Ethan O. MD; Kellner, Charles H. ... We previously published these data showing a mean succinylcholine dose of 0.9 mg/kg2; this is very similar to the reported 0.85 ... Methohexital and succinylcholine dosing for electroconvulsive therapy (ECT): actual versus ideal. J ECT. 2012;28:e29e30.. * ... In this sample, patients were more likely to need and to tolerate higher doses of succinylcholine rather than lower doses for ...
Anectine Flopack (Succinylcholine Chloride) GlaxoSmithKline
Suxalin (Succinylcholine Chloride) Celon Laboratories
Prolonged Neuromuscular Blockade Following Succinylcholine Administration to a Patient with a Reduced Butyrylcholinesterase...
W. Kalow and D. R. Gunn, "The relation between dose of succinyl-choline and duration of apnoea in man," Journal of Pharmacology ... Prolonged Neuromuscular Blockade Following Succinylcholine Administration to a Patient with a Reduced Butyrylcholinesterase ... "Screening patients with prolonged neuromuscular blockade after succinylcholine and mivacurium," Anesthesia and Analgesia, vol. ... "Genotyping the butyrylcholinesterase in patients with prolonged neuromuscular block after succinylcholine," Anesthesiology, vol ...
Room Temperature Stability of Injectable Succinylcholine Dichloride
A previously validated electrospray tandem mass spectrometry method developed for the determination of succinylcholine ... determine the room temperature stability over a period of several months of commercially available intravenous succinylcholine ... Room Temperature Stability of Injectable Succinylcholine Dichloride. Roy Julie J, Boismenu Daniel, Mamer Orval A, Nguyen Bao T ... Room Temperature Stability of Injectable Succinylcholine Dichloride. Author(s): Roy Julie J, Boismenu Daniel, Mamer Orval A, ...
Succinylcholine chloride dihydrate, Nicotinic AChR agonist (ab145759) is not available
succinylcholine meaning in English - EnglishLearner
... derived terms and more about the word succinylcholine. ... How to pronounce succinylcholine in British English, in context ... Definition of succinylcholine, with etymology, pronunciation (phonetic and audio), synonyms, antonyms, ... How to pronounce succinylcholine in American English, in context ▾. Use the controls below to browse different examples of ... succinylcholine. Definitions. 1. a muscle relaxant for striated muscle that is used as an adjunct to anesthesia during certain ...
Low Dose Mivacurium vs. Low Dose Succinylcholine for Rigid Bronchoscopy - Full Text View - ClinicalTrials.gov
Active Comparator: Succinylcholine Patient receive succinylcholine as a muscle relaxant (0,5mg/kg) after induction of general ... Low Dose Succinylcholine for Rigid Bronchoscopy. The safety and scientific validity of this study is the responsibility of the ... Drug: Succinylcholine Anaesthesia was induced and maintained with propofol(1-2mg/kg and 5mg/kg/h) and remifentanil (1µg/kg and ... Succinylcholine is commonly used for neuromuscular relaxation for short procedures such as rigid bronchoscopy. A alternative is ...
Succinylcholine
- Suxamethonium Chloride
Summary | CureHunter Mobile
Succinylcholine is used in surgical, anesthetic, and other procedures in which a brief period of muscle relaxation is called ... Succinylcholine (Suxamethonium Chloride) Summary Description: A quaternary skeletal muscle relaxant usually used in the form of ... Key Diseases for which Succinylcholine is Relevant. * Fasciculation (Fasciculations) : 19 outcomes 27 studies in 154 results ...
A case series of life-threatening succinylcholine-induced an... : European Journal of Anaesthesiology | EJA
Since 1952, succinylcholine has been widely used worldwide as the first choice of muscle relaxant to facilitate tracheal ... Indications for succinylcholine were in accordance with the French recommendations. Overall, clinical signs appeared ... Skin tests (intradermal tests, succinylcholine 10 mg ml−1), which remain the gold standard to prove drug-induced anaphylaxis, ... Despite its unique properties (i.e. short onset and offset and intense blockade), succinylcholine may induce some severe ...
Succinylcholine chloride in combined anesthesia | The Journal of the American Osteopathic Association
Succinylcholine chloride in combined anesthesia. The Journal of the American Osteopathic Association, July 1955, Vol. 54, 710- ... Succinylcholine chloride in combined anesthesia You will receive an email whenever this article is corrected, updated, or cited ... GORDON G. Succinylcholine chloride in combined anesthesia. J Am Osteopath Assoc 1955;54(11):710-712. doi: https://doi.org/. ...
Succinylcholine and Intracranial Pressure | Anesthesiology | ASA Publications
Succinylcholine and Dantrolene: Inseparable in the Emergency Cupboard?. Succinylcholine Use and Dantrolene Availability for ... Succinylcholine and Intracranial Pressure You will receive an email whenever this article is corrected, updated, or cited in ... Bolus injections of succinylcholine (1.5 mg/kg) significantly increased intracranial pressure (ICP) in cats under normal ... Succinylcholine and Intracranial Pressure. Anesthesiology 12 2018, Vol.129, 1159-1162. doi:10.1097/ALN.0000000000002429 ...
Succinylcholine (By injection) | Lima Memorial Health System
Succinylcholine (By injection). Succinylcholine (sux-i-nil-KOE-leen). Relaxes muscles during surgery or other medical ... There are many other medicines that can interact with succinylcholine. Tell your doctor about all other medicines you are using ... You should not receive this medicine if you have had an allergic reaction to succinylcholine. You should not receive this ...
The effect of electroconvulsive therapy using propofol and succinylcholine on the intraocular pressure. | Sigma-Aldrich
Succinylcholine chloride dihydrate, 98.0-102.0%, solid C14H30Cl2N2O4 · 2H2O ... To our knowledge, there is no published paper on the effect of ECT using propofol and succinylcholine on the IOP. This study ... The effect of electroconvulsive therapy using propofol and succinylcholine on the intraocular pressure.. [Shahram Borjian ... Intraocular pressure (IOP) is raised by succinylcholine and tonic-colonic convulsion,and decreased by propofol administration. ...
Succinylcholine chloride, a new muscle relaxant | The Journal of the American Osteopathic Association
Succinylcholine chloride, a new muscle relaxant. The Journal of the American Osteopathic Association, April 1953, Vol. 52, 426- ... Succinylcholine chloride, a new muscle relaxant You will receive an email whenever this article is corrected, updated, or cited ... GOLDEN A. Succinylcholine chloride, a new muscle relaxant. J Am Osteopath Assoc 1953;52(8):426-428. doi: . ...
2016 Global and Chinese Succinylcholine Chloride Industry Market
... latest release from HTF MI highlights the key market trends impacting the growth of the2016 Global and Chinese Succinylcholine ... Unlock new opportunities in 2016 Global and Chinese Succinylcholine Chloride Industry Market: the ... Table Trends of Succinylcholine Chloride Manufacturing Technology. Figure Company A Succinylcholine Chloride Product and ... Figure Company B Succinylcholine Chloride Product and Specifications. Table 2011-2016 Company B Succinylcholine Chloride ...
Chloride injectionQuelicinInjectionIntubationEffect of SuccinylcholineAnesthesiaHyperkalemiaSuxamethoniumMalignantIntraocular pressureDoses2019Muscle RelaxantsPostoperative MyalgiaSkeletal2020Allergic reaction to succinylcholineMyalgiaParalysisBlockadePatientsDavis's Drug GuideEFFECTS OF SUCCINYLCHOLINEChanges after succinylcholineIntubationsElectroconvulsiveOnset2016Either succinylcholineNeuromuscular junctionReceive succinylcholineDose of rocuroniumDihydrateBradycardiaSuccinic acidCardiacContraindicationsAnestheticAcetylcholineIntracranial PressurePatientAdministrationPotassium PhosphateAnaphylaxisClinicalHalothaneInjectionsDuration
Chloride injection7
- Succinylcholine chloride injection is a depolarizing neuromuscular blocking agent and is typically a drug of choice for short procedures (3 minutes or less). (drugs.com)
- Quelicin (succinylcholine chloride injection) 200 mg/10 mL vials, while not facing a shortage, are also part of the recalled products. (acc.org)
- Nexus Pharmaceuticals announced it has received U.S. Food and Drug Administration (FDA) approval for Succinylcholine Chloride Injection, USP in 200mg/10mL Multiple-Dose Vials. (isrcer.org)
- Nexus Pharmaceuticals' Succinylcholine Chloride Injection will be available in cartons of 25 vials. (isrcer.org)
- Succinylcholine Chloride Injection, USP is a sterile, nonpyrogenic solution to be used as an ultra-short-acting, depolarizing, skeletal muscle relaxant. (isrcer.org)
- Succinylcholine chloride injection, USP is a sterile, nonpyrogenic solution to be used as an ultra short-acting, depolarizing, skeletal muscle relaxant, see HOW SUPPLIED for summary of content and characteristics of the solutions. (medlibrary.org)
- Side effects of succinylcholine chloride injection include anaphylaxis, hyperkalemia, and malignant hyperthermia. (wikipedia.org)
Quelicin2
- Succinylcholine , also known as suxamethonium chloride or suxamethonium, is a muscle relaxant sold under the trade names Anectine and Quelicin . (snpedia.com)
- The purpose of this study was to determine the room temperature stability over a period of several months of commercially available intravenous succinylcholine dichloride (Quelicin, 20 mg/mL) in vials. (ijpc.com)
Injection2
- The aim of this study is to determine if the premedication with magnesium sulfate (MgSO4) could attenuate the increase in intraocular pressure (IOP) associated with succinylcholine injection and intubation. (readbyqxmd.com)
- Succinylcholine is for injection into a vein, or infusion into a vein. (netwellness.org)
Intubation32
- Succinylcholine-assisted intubation was used safely and selectively by the paramedics in this EMS system to permit airway control and ventilation of patients with more difficult intubations. (nih.gov)
- Comparison of the intubation conditions provided by rapacuronium (ORG 9487) or succinylcholine in humans during anesthesia with fentanyl and propofol. (nih.gov)
- Rapacuronium is an investigational nondepolarizing relaxant that also has a rapid onset and short duration and consequently should be compared with succinylcholine in its ability to facilitate rapid tracheal intubation. (nih.gov)
- Intubation by 60 s after drug administration occurred in 100% of patients with rapacuronium and in 98% with succinylcholine. (nih.gov)
- This retrospective study was conducted at a single center in China and aimed to compare rocuronium with succinylcholine for rapid sequence induction intubation in the Emergency Department of a hospital. (medscimonit.com)
- The findings from this study support results from previous studies, showing that even in the Emergency Department setting, rocuronium was equivalent to succinylcholine in achieving rapid sequence induction intubation, when the dose was appropriate. (medscimonit.com)
- BET 3: Is rocuronium as effective as succinylcholine at facilitating laryngoscopy during rapid sequence intubation? (bmj.com)
- Succinylcholine is indicated as an adjunct to general anesthesia, to facilitate tracheal intubation, and to provide skeletal muscle relaxation during surgery or mechanical ventilation. (isrcer.org)
- Effect of dexmedetomidine premedication on the intraocular pressure changes after succinylcholine and intubation. (semanticscholar.org)
- We investigated whether dexmedetomidine, an alpha-2 agonist, could attenuate this increase in the IOP after succinylcholine and intubation. (semanticscholar.org)
- Nichols, David G. / Intraosseous succinylcholine for orotracheal intubation . (elsevier.com)
- This randomized, single-blind, noninferiority trial compared rocuronium and succinylcholine for rapid sequence intubation. (reliasmedia.com)
- Rocuronium was noninferior to succinylcholine with respect to the primary endpoint of first-pass intubation success. (reliasmedia.com)
- Effect of rocuronium vs succinylcholine on endotracheal intubation success rate among patients undergoing out-of-hospital rapid sequence intubation: A randomized clinical trial. (reliasmedia.com)
- In the Succinylcholine vs. Rocuronium for Out-of-Hospital Emergency Intubation (CURASMUR) trial, patients requiring intubation were randomized in single-blind fashion to succinylcholine or rocuronium. (reliasmedia.com)
- This study concludes that rocuronium is noninferior to succinylcholine for intubation in the field and adds to the knowledge about the safety profile of rocuronium. (reliasmedia.com)
- Although no major adverse effects were observed with the use of rocuronium, there were more intubation-related adverse effects (cardiac arrest and hypotension) with the use of succinylcholine. (reliasmedia.com)
- Succinylcholine is known in endotracheal intubation during any emergency or surgical procedures. (medicalzone.net)
- In Group V patients we used vecuronium and in Group S used succinylcholine for intubation. (apicareonline.com)
- However, if estimating the dose higher succinylcholine dosing for rapid sequence intubation is far better than underdosing. (statpearls.com)
- A deficient dose of succinylcholine can result in inadequate paralysis, thus creating unforeseen challenges while attempting to perform intubation or other procedures in which the depolarizing neuromuscular blockade is utilized. (statpearls.com)
- Succinylcholine is a paralytic agent used for surgeries or short procedures, such as intubation. (picmonic.com)
- Even when administered in subparalyzing doses, 90% of the blocking effect of succinylcholine (at the adductor pollicis) is still evident within 75 s 3 The time to peak effect at sites more relevant to the adequacy of conditions for intubation such as the masseter, diaphragm, and laryngeal adductors is even more rapid. (asahq.org)
- The commonly cited intubation-dose of 0.60 mg/kg for rocuronium represents less than 2xED95, yet the drug's onset profile is slower that that of succinylcholine. (asahq.org)
- Succinylcholine should be used only by those skilled in the management of artificial respiration and only when facilities are instantly available for tracheal intubation and for providing adequate ventilation of the patient, including the administration of oxygen under positive pressure and the elimination of carbon dioxide. (pfizermedinfo.com.uy)
- Successful outcome depends on recognition of early signs, such as jaw muscle spasm, acidosis, or generalized rigidity to initial administration of succinylcholine for tracheal intubation, or failure of tachycardia to respond to deepening anesthesia. (pfizermedinfo.com.uy)
- followed by succinylcholine (Group PS, LS) or rocuronium (Group PR) for tracheal intubation. (bvsalud.org)
- To determine whether rocuronium creates intubating conditions comparable to those of succinylcholine during rapid sequence intubation. (kingstongasdocs.uk)
- The proportion of excellent intubating conditions created during standard or modified rapid sequence intubation comparing rocuronium with succinylcholine. (kingstongasdocs.uk)
- Does the first-pass intubation and adverse event rate differ between patients administered succinylcholine versus rocuronium? (rebelem.com)
- Rocuronium versus succinylcholine for rapid sequence induction intubation: Cochrane systematic review is a topic covered in the Cochrane Abstracts . (unboundmedicine.com)
- Cochrane Abstracts, Evidence Central, evidence.unboundmedicine.com/evidence/view/Cochrane/432752/all/Rocuronium_versus_succinylcholine_for_rapid_sequence_induction_intubation:_Cochrane_systematic_review. (unboundmedicine.com)
Effect of Succinylcholine3
- Paralytic effect of succinylcholine. (fluoridealert.org)
- Present study was undertaken with an aim to evaluate the effect of succinylcholine or vecuronium on intraocular pressure in association with propofol induction. (apicareonline.com)
- Hyperkalemia is the most common adverse effect of succinylcholine administration and is attributed to the drugs stimulatory effect on skeletal muscles. (statpearls.com)
Anesthesia9
- They revived him and he was later told that he had a reaction from the 'succinylcholine'-a muscle paralyzing anesthesia. (drugs.com)
- After induction of general anesthesia by administering an induction dose of an intravenous anesthetic such as Propofol, intravenous succinylcholine is often used to prevent bone fractures and joint dislocations during ECT. (sigmaaldrich.com)
- Anesthesia was induced with fentanyl and propofol and either 1.5 mg/kg rapacuronium or 1.0 mg/kg succinylcholine. (nih.gov)
- Succinylcholine(5mg/kg) without pretreatment or succinylcholine(5mg/kg) with pretreatment using atropine 2mg/kg, pancuronium at 0.1 mg/kg, at 0.3 mg/kg, and 1 mg/kg were given to rabbits of the same genus(body weight 1.6~2.3kg) under subsutaneous urethane anesthesia to determine the effect on gastric pressure in each group. (koreamed.org)
- If the muscle relaxant succinylcholine, also known as scoline, has been used during anesthesia, this may in some patients cause generalized aches and pains in the muscles for two to three days. (netwellness.org)
- Overdosage with succinylcholine may result in neuromuscular block beyond the time needed for surgery and anesthesia. (pfizermedicalinformation.hn)
- This study was undertaken to determine the effect of lidocaine pretreatment on reduction of succinylcholine-induced myalgia in patients undergoing general anesthesia for gynecological surgery. (bvsalud.org)
- Limited anesthesia literature has shown that succinylcholine may provider better intubating conditions but it has a number of contraindications (which may not be initially apparent)( Shoenberger 2018 ). (rebelem.com)
- Suxamethonium chloride, also known as suxamethonium or succinylcholine, is a medication used to cause short-term paralysis as part of general anesthesia. (wikipedia.org)
Hyperkalemia14
- To the editor: Severe hyperkalemia may complicate the use of succinylcholine in patients with major burns, direct muscle trauma, and various neuromuscular disorders (1-3). (annals.org)
- Nontraumatic rhabdomyolysis is common in the neuroleptic malignant syndrome (4) but has not been recognized as a risk factor for succinylcholine-induced hyperkalemia. (annals.org)
- We present the case of a patient with the neuroleptic malignant syndrome complicated by massive rhabdomyolysis in whom life-threatening hyperkalemia developed after the administration of intravenous succinylcholine. (annals.org)
- However, as current clinical guidelines highlight, succinylcholine has more contraindications and adverse effects, including hyperkalemia, which should be monitored, and rocuronium has a longer duration of action. (medscimonit.com)
- however, it remains true that succinylcholine is associated with numerous adverse effects, including severe hyperkalemia (which can occur within minutes of administration and result in cardiac arrest), while rocuronium is virtually free of adverse effects. (reliasmedia.com)
- There have been rare reports of acute rhabdomyolysis with hyperkalemia followed by ventricular dysrhythmias, cardiac arrest and death after the administration of succinylcholine to apparently healthy pediatric patients who were subsequently found to have undiagnosed skeletal muscle myopathy, most frequently Duchenne's muscular dystrophy. (medlibrary.org)
- Therefore, when a healthy appearing infant or child develops cardiac arrest soon after administration of succinylcholine, not felt to be due to inadequate ventilation, oxygenation or anesthetic overdose, immediate treatment for hyperkalemia should be instituted. (medlibrary.org)
- Cardiac arrest and succinylcholine-induced hyperkalemia in a patient with a triton tumor. (zosfundforlife.org)
- Patients with congenital muscular dystrophies are susceptible to hyperkalemia and rhabdomyolysis with succinylcholine. (zosfundforlife.org)
- Abstract Lethal hyperkalemic response to succinylcholine continues to be reported, but the molecular mechanisms for the hyperkalemia have not been completely elucidated. (zosfundforlife.org)
- It is, therefore, not surprising that one would see hyperkalemia with succinylcholine in the presence of critical illness polyneuropathy. (zosfundforlife.org)
- The patient's temperature increased to Despite succinylcholine induced hyperkalemia in acquired hypothyroidism, the end-tidal carbon dioxide increased to more than 60 mmHg, and the waveform indicated a rebreathing pattern with abrupt change in slope of the ascending limb: the soda-lime also turned purple. (zosfundforlife.org)
- see BOX WARNING ) Succinylcholine should be administered with GREAT CAUTION to patients suffering from electrolyte abnormalities and those who may have massive digitalis toxicity, because in these circumstances succinylcholine may induce serious cardiac arrhythmias or cardiac arrest due to hyperkalemia. (pfizermedinfo.com.uy)
- Patients with chronic abdominal infection, subarachnoid hemorrhage, or conditions causing degeneration of central and peripheral nervous systems should receive succinylcholine with GREAT CAUTION because of the potential for developing severe hyperkalemia. (pfizermedinfo.com.uy)
Suxamethonium1
- Marketed as Suxamethonium , succinylcholine is a depolarizing muscle relaxant , first used in 1951 as a muscle relaxant . (everything2.com)
Malignant6
- Succinylcholine may lead to malignant hyperthermia if it is administered with halothene. (medicalzone.net)
- While the impact of volatile anaesthetics to induce malignant hyperthermia (MH) is abundantly clear, the role of succinylcholine still remains controversial. (biomedcentral.com)
- The literature is briefly reviewed and an account of the present status of malignant hyperthermia (porcine stress syndrome) in Ontario boars using the halothane or halothane/succinylcholine screening tests is presented. (islandscholar.ca)
- Succinylcholine is contraindicated in persons with personal or familial history of malignant hyperthermia, skeletal muscle myopathies and known hypersensitivity to the drug. (pfizermedicalinformation.fi)
- Succinylcholine administration has been associated with acute onset of malignant hyperthermia, a potentially fatal hypermetabolic state of skeletal muscle. (pfizermedinfo.com.uy)
- The risk of developing malignant hyperthermia following succinylcholine administration increases with the concomitant administration of volatile anesthetics. (pfizermedinfo.com.uy)
Intraocular pressure4
- The effect of electroconvulsive therapy using propofol and succinylcholine on the intraocular pressure. (sigmaaldrich.com)
- Intraocular pressure (IOP) is raised by succinylcholine and tonic-colonic convulsion,and decreased by propofol administration. (sigmaaldrich.com)
- However, the use of succinylcholine is associated with an increase in intraocular pressure (IOP). (semanticscholar.org)
- Shah A, Gandhi R, Patel I. Comparative evaluation of effect of vecuronium and succinylcholine on intraocular pressure. (apicareonline.com)
Doses7
- In this sample, patients were more likely to need and to tolerate higher doses of succinylcholine rather than lower doses for adequate muscle relaxation. (lww.com)
- 1. Mirzakhani H, Guchelaar HJ, Welch CA,Minimum effective doses of succinylcholine and rocuronium during electroconvulsive therapy: a prospective, randomized, crossover trial. (lww.com)
- Group A received succinylcholine 4 mg/kg, group B incremental doses of halothane (0.5, 1.0 vol%) and group C succinylcholine and halothane simultaneously. (biomedcentral.com)
- Succinylcholine doses should be calculated following a thorough patient assessment and evaluation. (statpearls.com)
- Patients will receive the anesthetic that is traditionally given which includes appropriate doses of succinylcholine. (ucsf.edu)
- The utility of smaller doses of succinylcholine deserves to be reexamined. (asahq.org)
- Rocuronium at high doses has a similar onset of action to succinylcholine and may provider longer safe apneic times ( Swaminathan 2018 ). (rebelem.com)
20192
- 2019. https://www.drugguide.com/ddo/view/Davis-Drug-Guide/51711/all/succinylcholine. (drugguide.com)
- for older pediatric patients and adolescents the dose is 1 mg/kg (see BOX WARNING and PRECAUTIONS: Pediatric Use ) Aug 29, 2019 · Intravenous bolus administration of succinylcholine in infants or pediatric patients may result in profound bradycardiaor, rarely, asystole. (beyondgoodbye.co.uk)
Muscle Relaxants1
- Non-depolarizing muscle relaxants are also advocated as a part of a modified rapid sequence induction in patient with full stomach, where the use of succinylcholine is contraindicated, as in patient with perforated eye injury. (apicareonline.com)
Postoperative Myalgia5
- Sometimes 'postoperative myalgia' is due to the use of a muscle relaxant drug called succinylcholine. (healthcentral.com)
- There are a few theories about the cause of postoperative myalgia, but it is usually attributed to the use of a muscle relaxant drug called succinylcholine. (netwellness.org)
- Although the problem of postoperative myalgia has been recognized for many years, the exact way in which succinylcholine causes this muscle pain is not fully understood. (netwellness.org)
- Can lidocaine reduce succinylcholine induced postoperative myalgia? (bvsalud.org)
- In conclusion, where succinylcholine is used, lidocaine is proven to be the useful pretreatment agent for the reduction of postoperative myalgia. (bvsalud.org)
Skeletal6
- Succinylcholine (SUK seh nil KOH leen) is a skeletal muscle relaxant. (cvs.com)
- The skeletal muscle relaxation provided by succinylcholine is beneficial during certain surgical procedures, more specifically, when abdominal wall muscle disruption is necessary, mechanical ventilation is difficult or defied, or in surgical cases where spontaneous respiration of the patient is counterproductive to the procedure. (statpearls.com)
- A depolarizing neuromuscular blocking agent, succinylcholine adheres with post-synaptic cholinergic receptors of the motor end plate, inducing continuous disruption that results in transient fasciculations or involuntary muscle contractions, and subsequent skeletal muscle paralysis. (statpearls.com)
- Skeletal muscle paralysis will continue pending sufficient disassociation of succinylcholine from the acetylcholine neuromuscular receptor sites and consequential pseudocholinesterase hydrolyzation permitting baseline neuromuscular receptor function and thus normal motor end-plate activity. (statpearls.com)
- Succinylcholine is a depolarizing skeletal muscle relaxant. (medlibrary.org)
- Succinylcholine chloride) is an ultra short-acting depolarizing-type, skeletal muscle relaxant for intravenous (IV) administration. (wellonapharma.com)
20202
- 2020. https://www.unboundmedicine.com/washingtonmanual/view/Davis-Drug-Guide/51711/11.0/succinylcholine. (unboundmedicine.com)
- 2020. https://nursing.unboundmedicine.com/nursingcentral/view/Davis-Drug-Guide/51711/all/succinylcholine. (unboundmedicine.com)
Allergic reaction to succinylcholine1
- You should not receive this medicine if you have had an allergic reaction to succinylcholine. (limamemorial.org)
Myalgia1
- To add to the mystery, some patients experience myalgia even when they are not given succinylcholine at all, and other patients, such as those given succinylcholine in the course of electroconvulsive (shock) therapy do not seem to complain of myalgia at all! (netwellness.org)
Paralysis4
- Succinylcholine will cause the muscle paralysis. (medicalzone.net)
- The paralysis following administration of succinylcholine is progressive, with differing sensitivities of different muscles. (medlibrary.org)
- They state, "a smaller dose of succinylcholine would have decreased the duration of muscle paralysis but the results would have been less clinically relevant. (asahq.org)
- 清楷曾 2000, ' Prolonged Paralysis Associated with Succinylcholine -A Case Report ', Acta Anaesthesiologica Sinica , vol. 38, no. 4. (ntnu.edu.tw)
Blockade3
- Succinylcholine may lead to phase I blockade and phase II blockade. (medicalzone.net)
- Phase I blockade begins by the reversible binding of the succinylcholine to the nicotine receptors at the neuromuscular junction. (medicalzone.net)
- Succinylcholine chloride is a short-acting depolarizing neuromuscular blockade that is approved by the United States Food and Drug Administration (FDA) as a provision to other sedatives or hypnotics. (statpearls.com)
Patients18
- We would like to point out, however, that a small but not insignificant number of patients are outliers in regard to their succinylcholine requirements. (lww.com)
- Some patients will need dose increases, whereas others will need far less succinylcholine than predicted. (lww.com)
- Most of the drugs used in ECT are highly predictable, including succinylcholine for most patients. (lww.com)
- These results, when considered in conjunction with results previously obtained in humans, suggest that succinylcholine may be contraindicated in neurosurgical patients. (asahq.org)
- The baseline IOP values of the patients were checked after application of sterile eye drop tetracaine 0.5% by an applanation tonometer, and then the patients received atropine 0.5 mg, propofol 0.75 mg/kg, succinylcholine 1 mg/kg intravenously, with intervals of 1 minute. (sigmaaldrich.com)
- The use of succinylcholine for rapid sequence induction in patients with open globe injuries may be detrimental to the eye. (readbyqxmd.com)
- Succinylcholine levels were reported to be below the detection limit of 2 µg/mL after 2.5minutes of an IV bolus dose of 1 or 2 mg/kg in fourteen (14) anesthetized patients. (beyondgoodbye.co.uk)
- The use of succinylcholine in these patients, or in the presence of an already raised serum potassium, may precipitate a cardiac arrest. (alpfmedical.info)
- Patients with clinically significant pre-existing eye disease, raised base line IOP, cardiorespiratory illness, CNS diseases, difficult airway, obesity, those receiving any drug likely to have an effect on IOP and in whom use of succinylcholine was contraindicated were excluded. (apicareonline.com)
- Succinylcholine is often used as an adjunct therapy in patients undergoing electroconvulsive shock therapy (ETC) to control muscle contractions induced as a result of the electrical impulses delivered during the procedure. (statpearls.com)
- It is often used to overcome the desensitization experience by paralyzed patients in a Phase II block of succinylcholine. (picmonic.com)
- Muscle pain from succinylcholine is most common in young female patients, especially those undergoing ambulatory surgery (going home the same day as the surgery). (netwellness.org)
- The Muscle Biochemical, Serum Potassium and Cardiovascular Changes After Succinylcholine in Patients Undergoing Electroconvulsive Therapy. (ucsf.edu)
- I was taught as a resident back in the early 1960s that if you never exceeded a dose of 40 mg of succinylcholine (to an adult) that most patients would likely survive the experience. (asahq.org)
- tent Patients were randomized to a rapid-sequence induction with succinylcholine 1.0 mg kg'1 or rocurontum 0.6 mg kg'1 after induction with re mifentanil lfig kg'1 and propofol 2-3 mg kg'1. (bu.edu.eg)
- Succinylcholine is metabolized by plasma cholinesterase and should be used with caution, if at all, in patients known to be or suspected of being homozygous for the atypical plasma cholinesterase gene. (pfizermedinfo.com.uy)
- In both adults and pediatric patients the incidence of bradycardia, which may progress to asystole, is higher following a second dose of succinylcholine. (pfizermedinfo.com.uy)
- Patients older than 14 years of age who were intubated using either succinylcholine or rocuronium in 22 Emergency Departments participating in the National Emergency Airway Registry (NEAR) between January 1st, 2016 and December 31st, 2016. (rebelem.com)
Davis's Drug Guide1
- succinylcholine is a topic covered in the Davis's Drug Guide . (unboundmedicine.com)
EFFECTS OF SUCCINYLCHOLINE3
- Read the side effects of Succinylcholine as described in the medical literature. (medindia.net)
- This study will be conducted to determine the pharmacodynamics, cardiovascular and biochemical effects of succinylcholine when given during electroconvulsive therapy. (ucsf.edu)
- On some side effects of succinylcholine (listenone) during prolonged use]. (semanticscholar.org)
Changes after succinylcholine1
- Intracranial and Hemodynamic Changes after Succinylcholine Administration in Cats. (asahq.org)
Intubations1
- 2015, Issue 2), MEDLINE and EMBASE to identify all clinical trials directly comparing rocuronium and succinylcholine during rapid sequence intubations. (kingstongasdocs.uk)
Electroconvulsive2
Onset6
- Is it possible that succinylcholine allergy can be related to onset of fibromyalgia? (drugs.com)
- Currently, the only approved muscle relaxant with a rapid onset and short duration of action is succinylcholine, a drug with some undesirable effects. (nih.gov)
- Succinylcholine, which is the only depolarizing agent in current clinical use, has the fastest onset and shortest action duration. (alpfmedical.info)
- The onset of succinylcholine is typically achieved after 45-60 seconds, which many cite as a major advantage over rocuronium. (hemscriticalcare.com)
- According to these results succinylcholine acted as an independent and supportive factor during onset of an MH episode. (biomedcentral.com)
- In the Airway Management book the authors state that "Succinylcholine (SCh) is the NMBA of choice for emergency RSI because of its rapid onset and relatively brief duration of action. (tomwademd.net)
20161
- The report then estimates 2016-2021 market development trends of Succinylcholine Chloride industry. (htfmarketreport.com)
Either succinylcholine2
- To evaluate the influence of succinylcholine on porcine MH events, the authors investigated the hemodynamic and metabolic responses in MH susceptible (MHS) and non-susceptible (MHN) swine following either succinylcholine or halothane application alone or a combination of both substances. (biomedcentral.com)
- Administration of a neuromuscular blocker (NMB) is an essential part of Emergency Department (ED) airway management for facilitating ideal airway conditions and is most commonly performed with either succinylcholine or rocuronium. (rebelem.com)
Neuromuscular junction1
- Succinylcholine is essentially two acetylcholine molecules joined together and as it resembles the ACh molecule, it binds to the acetylcholine receptor at the neuromuscular junction causing an depolarization and an endplate potential . (everything2.com)
Receive succinylcholine1
- Patient receive succinylcholine as a muscle relaxant (0,5mg/kg) after induction of general anaesthesia for rigid bronchoscopy. (clinicaltrials.gov)
Dose of rocuronium1
- and the dose of rocuronium given was at least 0.6mg/kg and succinylcholine was at least 1mg/kg. (kingstongasdocs.uk)
Dihydrate1
- Succinylcholine Chloride is chemically designated as Ethanaminium, 2,2'-[(1,4-dioxo-1,4-butanediyl) bis(oxy)] bis [N, N, N-trimethyl-, dichloride, dihydrate, its molecular formula is C 14 H 30 Cl 2 N 2 O 4 .2H 2 O and its molecular weight is 397.34. (medlibrary.org)
Bradycardia1
- Succinylcholine can cause bradycardia and so atropine needs to be available. (tomwademd.net)
Succinic acid1
- Succinylcholine is a diquaternary base consisting of the dichloride salt of the dicholine ester of succinic acid. (medlibrary.org)
Cardiac2
- Succinylcholine's pharmacological and chemical composition makes it neuromuscular receptor site-specific, thus succinylcholine is ineffective on smooth and cardiac muscles of the body. (statpearls.com)
- Correspondence August Kovarik WD, Morray JP: Hyperkalemic cardiac arrest after succinylcholine administration in a child with purpura fulminans. (zosfundforlife.org)
Contraindications1
- One of the reasons for writing this blog reminds everyone that succinylcholine has several major side-effects and contraindications as compared to rocuronium. (hemscriticalcare.com)
Anesthetic2
- Succinylcholine is used in surgical, anesthetic, and other procedures in which a brief period of muscle relaxation is called for. (nih.gov)
- If the use of succinylcholine cannot be avoided, (this is rare), there are methods for decreasing the incidence and severity of the muscle pain, such as giving a very small dose of another muscle relaxant before the succinylcholine, or by giving a local anesthetic medication called lidocaine. (netwellness.org)
Acetylcholine1
- Succinylcholine which is a depolarizing neuromuscular blocker will compete with acetylcholine to bind to the nicotine receptors. (medicalzone.net)
Intracranial Pressure1
- Bolus injections of succinylcholine (1.5 mg/kg) significantly increased intracranial pressure (ICP) in cats under normal conditions from control levels of 8 +/- 1 mmHg to 16 +/- 3 mmHg (+/- SEM, P less than 0.01), and in the presence of artificially increased ICP from control levels of 27 +/- 1 mmHg to 47 +/- 4 mmHg ( P less than 0.01). (asahq.org)
Patient6
- The purpose of this course is to enable the participants to improve their care by synthesizing new knowledge about common sedation drugs and pain scales to better monitor and predict patient responses However, the time needed for complete recovery after intralingual, intravenous and intramuscular succinylcholine administration was 7, 5 and 9 min, respectively. (beyondgoodbye.co.uk)
- Rocuronium was administered at a dose of 1.2 mg/kg and succinylcholine at 1.0 mg/kg, with patient weights "estimated," although this was not defined. (reliasmedia.com)
- The electrocardiogram and serum potassium levels after succinylcholine SCh in a patient 1 month after massive trauma. (zosfundforlife.org)
- The incidence of anaphylaxis was 1 in 22,451 new patient exposures for atracurium, 1 in 2,080 for succinylcholine, and 1 in 2,499 for rocuronium (P (metajournal.com)
- I think it can be successfully argued that overall patient safety might be enhanced when the time from loss of consciousness to endotracheal tube placement is lengthened by 15 s, if the "trade-off" is a simultaneous decrease in the duration of succinylcholine-induced apnea of 90 s or more. (asahq.org)
- To avoid distress to the patient, succinylcholine should not be administered before unconsciousness has been induced. (pfizermedinfo.com.uy)
Administration8
- Depolarizing NMBAs (ie, succinylcholine) are not reversed by these agents and their toxicity may be worsened by concomitant administration. (drugs.com)
- The baseline IOP (14.81 +/- 3.6 mmHg) decreased significantly after administration of propofol (13.18 +/- 3.55 mmHg) but increased significantly after succinylcholine (15.52 +/- 3.58 mmHg), one minute (18.32 +/- 3.49 mmHg) and 5 minutes after convulsion (15.41 +/- 3.46 mmHg). (sigmaaldrich.com)
- The results are summerized as follows 1) Gastric pressure was significantly increase by the administration of succinylcholine(5mg/kg). (koreamed.org)
- We present two cases of the intraosseous administration of succinylcholine (1 mg/kg) for emergency airway management in children. (elsevier.com)
- Of note, administration of low-dose (20-30 mg, IV) succinylcholine is widely accepted as the most effective treatment for laryngospasm refractory to conservative management. (beyondgoodbye.co.uk)
- Demonstrate the succinylcholine iv administration course correct calculation of an IV flow rate 4. (beyondgoodbye.co.uk)
- A very minimal percentage of succinylcholine encompasses the neuromuscular motor end-plates post administration. (statpearls.com)
- Succinylcholine should never be administered without assuring adequate sedation prior to administration. (statpearls.com)
Potassium Phosphate2
Anaphylaxis1
- Conclusions In Auckland, the rate of anaphylaxis to succinylcholine and rocuronium is approximately 10-fold higher than to atracurium. (metajournal.com)
Clinical1
- What Is Clinical Studies American medical professionals succinylcholine uses against throughout the United Claims traveled in the direction of Gaza armed with health care materials in the direction of address the 5300 Palestinian civilians, which includes 795 ladies and 1855 kids, hurt by means of Israeli assaults. (schalmeienwelt.net)
Halothane3
- While MHN pigs did not show relevant alterations, succinylcholine, halothane and the combination of both lead to significant hemodynamic and metabolic changes in MHS swine. (biomedcentral.com)
- Hemodynamic and metabolic alterations following succinylcholine were similar to halothane in MHS pigs. (biomedcentral.com)
- In contrast, an 18.0% prevalence rate was determined using halothane/succinylcholine challenge on 123 boars. (islandscholar.ca)
Injections2
- Intravenous injections of succinylcholine, decamethonium and hexacarbacholine increased superior rectus muscle tension and decreased the twitch responses of the superior rectus and tibialis muscles. (aspetjournals.org)
- Generic succinylcholine injections are available. (netwellness.org)
Duration1
- In individuals with pseudocholinesterase deficiency (about 1 in 3000 or less), the duration of action will be much longer and succinylcholine should be avoided in these people if possible. (everything2.com)