Serum Potassium Change after Administration of Succinylcholine in Ruptured Cerebral Aneurysm Patients. |
Jae Chol Shim, Pyung Hwan Park, Cheong Lee |
Department of Anesthesiology, College of Medicine, Ulsan University, Korea. |
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Abstract |
Succinylcholine induced hyperkalemia has been reported in many neurologic disorders including subarachnoid hemorrhage.
The purpose of this study was to evaluate suceinylcholine induced-hyperkalemia in twenty ruptured cerebral aneuryam patients undergoing general anesthesia for repair of the cerebral aneurysm. Serum potassium levels were measured after induction of anesthesia, but before succinylcholine, and 1, 5 and 10 min after administration of succinylcholine.
Serum potassium levels were continuously increased until 10 min after euccinylcholine administration. The increments of serum potassium above 1.0mEq/L were observed in 5 of 9 patients with loss of consciousnesa A relationship between the loss of consciousness and hyperkalemic response after succinylcholine was suggested. |
Key Words:
Ruptured cerebral aneurysm; Succinylcholine; Serum potasaium |
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