MIVACURIUM APNOEA: A TRAP FOR THE UNWARY

doi:https://doi.org/10.1111/j.1742-1241.1999.tb11691.x

Open AccessArticle10.1111/j.1742-1241.1999.tb11691.x

MIVACURIUM APNOEA: A TRAP FOR THE UNWARY

OA Ogunbiyi,KG Branch-1999-03-01-International Journal of Clinical Practice

TL;DRAbstract

We present a case of unanticipated postoperative apnoea in a patient with associated medical illness to illustrate the diagnostic difficulty that can arise in the detection and subsequent management of mivacurium apnoea. A high index of suspicion is essential in the presence of concomitant medical conditions that may cause prolonged apnoea. To our knowledge, no report exists documenting the unanticipated occurrence of mivacurium apnoea in a patient with previously undiagnosed pseudocholinesterase deficiency and concomitant medical illness who has previously undergone 'balanced' general anaesthesia.

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We present a case of unanticipated postoperative apnoea in a patient with associated medical illness to illustrate the diagnostic difficulty that can arise in the detection and subsequent management of mivacurium apnoea. A high index of suspicion is essential in the presence of concomitant medical conditions that may cause prolonged apnoea. To our knowledge, no report exists documenting the unanticipated occurrence of mivacurium apnoea in a patient with previously undiagnosed pseudocholinesterase deficiency and concomitant medical illness who has previously undergone 'balanced' general anaesthesia.

Keywords

MedicineConcomitantAnesthesiaIntensive care medicineSurgery

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