Tritapepe L, Giardini M
Cattedra di Terapia Intensiva, Università degli Studi di Roma La Sapienza.
Minerva Anestesiol. 1995 Jan-Feb;61(1-2):47-9.
The authors describe a case of prolonged neuromuscular blockade following suxamethonlum in a patient with a normal cholinesterase activity and dibucaine number > or = 75%. In this case a peripheral nerve stimulator and capnography allowed neuromuscular blockade evaluation and fresh frozen plasma infusion led to a normal recovery from suxamethonium neuromuscular blockade. This report suggests a case of abnormal cholinesterase activity described as "silent variant".