Heterozygous Atypical Cholinesterase: Management During ECT.
A 70-year old woman developed prolonged apnea during an initial administration of electroconvulsive therapy (ECT) with succinylcholine. Because of the duration of apnea, she was suspected of having a heterozygous type of atypical cholinesterase. Subsequent therapies were administered with a reduced dose of succinylcholine. Prolonged apnea did not recur.
Riesenman
John P.
JP
Department of Psychiatry, Loma Linda University School of Medicine, Loma Linda, California, USA.
Mathew
Rano T.
RT