Bui Danny D, Asher Shyamal R
Rhode Island Hospital, Department of Anesthesiology, The Warren Alpert Medical School of Brown University, 593 Eddy St Davol 129, Providence, RI 02903, USA.
Case Rep Anesthesiol. 2020 Sep 18;2020:8874617. doi: 10.1155/2020/8874617. eCollection 2020.
Succinylcholine is a commonly used medication in all aspects of anesthetic care, and there are a number of known side effects and complications associated with its use. However, when succinylcholine is used emergently, anesthesia providers must remain vigilant to undiagnosed conditions that pose additional risks to patients. We report the use of succinylcholine to treat acute, refractory laryngospasm after extubation leading to prolonged neuromuscular paralysis. There are unique challenges presented by this case including the risk of anesthesia awareness with recall due to the cognitive biases that prevent the clinical diagnosis of pseudocholinesterase deficiency.
琥珀酰胆碱是麻醉护理各方面常用的药物，其使用存在一些已知的副作用和并发症。然而，当紧急使用琥珀酰胆碱时，麻醉医护人员必须对未诊断出的、给患者带来额外风险的情况保持警惕。我们报告了使用琥珀酰胆碱治疗拔管后急性难治性喉痉挛导致长时间神经肌肉麻痹的病例。该病例存在一些独特的挑战，包括由于认知偏差导致的麻醉知晓伴回忆风险，这些偏差会妨碍对假性胆碱酯酶缺乏症的临床诊断。
