Succinylcholine: a drug to avoid in bariatric surgery.
Succinylcholine is a paralytic agent regularly utilized in anesthesia. There are numerous adverse effects of succinylcholine ranging from mild to fatal; one such effect is succinylcholine myalgia. We report the case of a 34-year-old woman who received succinylcholine while undergoing laparoscopic Roux-en-Y gastric bypass and later developed succinylcholine myalgia leading to a prolonged hospital stay and subsequent pneumonia. In the presence of suitable alternative paralytic agents, succinylcholine should be avoided in patients undergoing bariatric surgery. The use of a designated anesthesia team familiar with bariatric operations can help maximize peri-operative management and minimize complications.
Department of Surgery, David Geffen School of Medicine, University of California, Los Angeles, CA, USA.
Talar
T
Tejirian
Catherine E
CE
Lewis
James
J
Conner
Candice
C
Jensen
Erik
E
Dutson
Amir
A
Mehran
D000328:Adult; D005260:Female; D015390:Gastric Bypass; D006801:Humans; D007442:Intubation, Intratracheal; D007902:Length of Stay; D009135:Muscular Diseases / Q000139:chemically induced*; D009467:Neuromuscular Depolarizing Agents / Q000009:adverse effects*; D009767:Obesity, Morbid / Q000453:epidemiology / Q000601:surgery; D010149:Postoperative Pain / Q000139:chemically induced*; D012307:Risk Factors; D013390:Succinylcholine / Q000009:adverse effects*
D009467:Neuromuscular Depolarizing Agents; D013390:Succinylcholine