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Canadian Journal of Anesthesia, Vol 19, 634-638, Copyright © 1972 by Canadian Anesthesiologists' Society
1 Department of surgery, Anesthesiology Servics and General Surgery Service, Wilford Hall USAF Medical Center, Lackland Air Force Base, Texas 78236
The change in potassium response following succinylcholine was studied in eleven Rhesus monkeys after 10 and 20 days of persistent uraemia. We noted no significant increase in mean potassium levels after administration of succinylcholine in the uraemic groups when contrasted with a control group. However, the serum potassium in one animal rose 1.7 mEq/liter, which is a significant rise (P < 0.05). The potassium response did not change with increasing duration of uraemia, nor did it correlate with either the degree of uraemia nor with the initial potassium value. Since it is impossible to predict under what circumstances an exaggerated response may occur we advise continued caution in the use of succinylcholine in uraemic patients.
Note:
Major. USAF, MC, Staff Anaesthesiologist.
Major, USAF, Staff General Surgeon.
Captain, USAF, MC, Resident in Anesthesiology.
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