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Korean Journal of Anesthesiology 1990;23(6):899-903.
DOI: https://doi.org/10.4097/kjae.1990.23.6.899   
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.
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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