title: Succinylcholine and the open eye.
abstract: 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.
authors.affiliation: 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
authors.forename: Elie Joseph
authors.initials: EJ
authors.lastname: Chidiac
authors.forename: Alex Oleg
authors.initials: AO
authors.lastname: Raiskin
mesh_terms: 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
chemical_list: D009467:Neuromuscular Depolarizing Agents; D013390:Succinylcholine