Chidiac Elie Joseph, Raiskin Alex Oleg
Department of Anesthesiology, Wayne State University School of Medicine, Anesthesiology Education Office, Room 2901, 2-Hudson, 3990 John R., Detroit, MI 48201, USA.
Ophthalmol Clin North Am. 2006 Jun;19(2):279-85. doi: 10.1016/j.ohc.2006.02.015.
The use of succinylcholine in ocular trauma is controversial because it raises intraocular pressure. This article reviews the advantages and disadvantages of succinylcholine and its alternatives, including regional anesthesia for open globe injuries. Finally, an algorithm is proposed for airway management of patients with penetrating eye injuries, highlighting circumstances where succinylcholine may be the safest muscle relaxant.
琥珀酰胆碱在眼外伤中的应用存在争议,因为它会升高眼压。本文综述了琥珀酰胆碱及其替代药物的优缺点,包括开放性眼球损伤的区域麻醉。最后,提出了一种针对穿透性眼外伤患者气道管理的算法,强调了琥珀酰胆碱可能是最安全的肌肉松弛剂的情况。