Succinylcholine and the open eye.
The use of succinylcholine in ocular trauma is controversial because it raises intraocular pressure. This article reviews the advantages and disadvantages of succinylcholine and its alternatives, including regional anesthesia for open globe injuries. Finally, an algorithm is proposed for airway management of patients with penetrating eye injuries, highlighting circumstances where succinylcholine may be the safest muscle relaxant.
Chidiac
Elie Joseph
EJ
Department of Anesthesiology, Wayne State University School of Medicine, Anesthesiology Education Office, Room 2901, 2-Hudson, 3990 John R., Detroit, MI 48201, USA. echidiac@med.wayne.edu
Raiskin
Alex Oleg
AO
D015807:Eye Injuries, Penetrating / Q000188:drug therapy* / Q000503:physiopathology; D006801:Humans; D007429:Intraocular Pressure / Q000187:drug effects; D009467:Neuromuscular Depolarizing Agents / Q000627:therapeutic use*; D013390:Succinylcholine / Q000627:therapeutic use*; D016896:Treatment Outcome
D009467:Neuromuscular Depolarizing Agents; D013390:Succinylcholine