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Canadian Journal of Anesthesia, Vol 25, 53-59, Copyright © 1978 by Canadian Anesthesiologists' Society

Succinylcholine Sensitivity In A Nova Scotia Family

J. J. CANDY 1 and M. J. McQUEEN 2

1 Department of Anaesthesia, Dalhousie University, Halifax
2 Clinical Chemistry, Hamilton General Hospital, Hamilton, Ontario

Succinylcholine apnoea is usually the result of a delay in hydrolysis of the injected muscle relaxant due to the presence of an inherited defect in the enzyme cholinesterase

This report presents a Nova Scotia family in whom several members had "difficulty in breathing" following anaesthesia. Subsequent investigations revealed the presence of several phenotypes of the enzyme cholinesterase including individuals who were homozygous for the atypical cholinesterase genes.

The frequency of occurrence and significance of the various phenotypes are discussed, together with their management and recommendations for family screening.







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Copyright © 1978 by the Canadian Anesthesiologists' Society.