Lack of a Hyperkalemic Response in Emergency Department Patients Receiving Succinylcholine
dc.contributor.author | Zink, Brian J. | en_US |
dc.contributor.author | Snyder, Howard S. | en_US |
dc.contributor.author | Raccio-Robak, Nancy | en_US |
dc.date.accessioned | 2010-06-01T22:02:48Z | |
dc.date.available | 2010-06-01T22:02:48Z | |
dc.date.issued | 1995-11 | en_US |
dc.identifier.citation | Zink, Brian J.; Snyder, Howard S.; Raccio-Robak, Nancy (1995). "Lack of a Hyperkalemic Response in Emergency Department Patients Receiving Succinylcholine." Academic Emergency Medicine 2(11): 974-978. <http://hdl.handle.net/2027.42/75073> | en_US |
dc.identifier.issn | 1069-6563 | en_US |
dc.identifier.issn | 1553-2712 | en_US |
dc.identifier.uri | https://hdl.handle.net/2027.42/75073 | |
dc.identifier.uri | http://www.ncbi.nlm.nih.gov/sites/entrez?cmd=retrieve&db=pubmed&list_uids=8536123&dopt=citation | en_US |
dc.description.abstract | Objective: To determine whether serum potassium (K) levels increase significantly following succinylcholine (SCh)-assisted intubation in ED patients. Methods: A prospective. noncontrolled, consecutive case series design was used to evaluate the change in serum K levels in ED patients who received SCh for emergency intubation. The study was performed at an academic medical center staffed by board-certified emergency physicians. The subjects were 100 consecutive prescreened ED patients with various diagnoses who received SCh for intubation. The eligible subjects had serum K levels determined prior to and 5 minutes after administration of a 1.0–1.5-mg/kg IV dose of SCh. Serum K levels were measured by the ionselective electrode assay method. Results: The mean change in serum K levels was -0.04 mmol/L (95% CI -0.14 to 0.06). The maximum increase was 1.10 mmol/L. The serum K level rose in 46 cases, decreased in 46 cases, and was unchanged in eight cases. No instance of SCh-induced cardiac arrest was identified. Conclusion: Changes in serum K levels following SCh administration in prescreened ED patients were minimal. A hyperkalemic response is uncommon in ED patients who undergo SCh-assisted intubation. | en_US |
dc.format.extent | 482668 bytes | |
dc.format.extent | 3109 bytes | |
dc.format.mimetype | application/pdf | |
dc.format.mimetype | text/plain | |
dc.publisher | Blackwell Publishing Ltd | en_US |
dc.rights | 1995 Society for Academic Emergency Medicine | en_US |
dc.subject.other | Succinylcholine | en_US |
dc.subject.other | Hyperkalemia | en_US |
dc.subject.other | Paralytic Agent | en_US |
dc.subject.other | Endotracheal Intubation | en_US |
dc.subject.other | Emergency Department | en_US |
dc.title | Lack of a Hyperkalemic Response in Emergency Department Patients Receiving Succinylcholine | en_US |
dc.type | Article | en_US |
dc.subject.hlbsecondlevel | Medicine (General) | en_US |
dc.subject.hlbtoplevel | Health Sciences | en_US |
dc.description.peerreviewed | Peer Reviewed | en_US |
dc.contributor.affiliationum | University of Michigan School of Medicine, Ann Arbor, MI. Department of Surgery, Section of Emergency Medicine | en_US |
dc.contributor.affiliationother | Albany Medical College, Albany, NY. Department of Emergency Medicine | en_US |
dc.identifier.pmid | 8536123 | en_US |
dc.description.bitstreamurl | http://deepblue.lib.umich.edu/bitstream/2027.42/75073/1/j.1553-2712.1995.tb03124.x.pdf | |
dc.identifier.doi | 10.1111/j.1553-2712.1995.tb03124.x | en_US |
dc.identifier.source | Academic Emergency Medicine | en_US |
dc.identifier.citedreference | Roberts DJ, Clinton JE, Ruiz E. Neuromuscular blockade for critical patients in the emergency department. Ann Emerg Med 1986; 15: 152 – 6. | en_US |
dc.identifier.citedreference | Morris IR. Pharmacologic aids to intubation and the rapid sequence induction. Emerg Med Clin North Am 1988; 6: 753 – 68. | en_US |
dc.identifier.citedreference | Groncrt GA, Theye RA. Pathophysiology of hyperkalemia induced by succinylcholine. Anesth 1975, 43: 89 – 99. | en_US |
dc.identifier.citedreference | Tolmie MD. Succinylcholine danger in the burned patient. Anesthesiology 1967; 29: 467 – 70. | en_US |
dc.identifier.citedreference | Schaner PJ, Brown RL, Kirksey TD, et al. Succinylcholine-in-duced hyperkalemia in burned patients—1. Anesth Analg 1969; 48: 764 – 70. | en_US |
dc.identifier.citedreference | Thomas ET. Circulatory collapse following succinylcholine. Anesth Analg 1969; 48: 333 – 7. | en_US |
dc.identifier.citedreference | Smith RB. Cardiac arrest following succinylcholine in patients with CNS injuries. Anesthesiology 1970; 33: 558 – 60. | en_US |
dc.identifier.citedreference | Stevenson PH, Birch AA. Succinylcholine-induced hyperkalemia in a patient with a closed head injury. Anesthesiology 1979; 31: 89 – 90. | en_US |
dc.identifier.citedreference | Tong TK. Succinylcholine-induced hyperkalemia in near drowning. Anesthesiology 1987; 66: 720 – 3. | en_US |
dc.identifier.citedreference | Brooke MM, Donovon WH, Stolov WC. Paraplegia. succinylcholine induced hyperkalemia and cardiac arrest. Arch Phys Med Rehabil 1978; 59: 306 – 9. | en_US |
dc.identifier.citedreference | Khan TZ, Khan RM. Changes in serum potassium following succinylcholine in patients with infections. Anesth Analg 1983; 62: 327 – 31. | en_US |
dc.identifier.citedreference | Mane RI, Escue HM, Houston JB. Hyperkalemia and cardiovascular collapse following administration of succinylcholine to the traumatized patient. Anesthesiology 1969; 31: 540 – 7. | en_US |
dc.identifier.citedreference | Yentis SM. Suxamethonium and hyperkalaemia. Anaesth Intensive Care 1990; 18: 92 – 101. | en_US |
dc.identifier.citedreference | Schwartz DE, Kelly B, Caldwell JE, et al. Succinylcholine-induced hyperkalemic arrest in a patient with severe metabolic acidosis and exsanguinating hemorrhage. Anesth Analg 1992; 75: 291 – 3. | en_US |
dc.identifier.citedreference | Linter SP, Thomas PR, Withington PS, et al. Suxamethonium associated hypertonicity and cardiac arrest in unsuspected pseudohypertrophic muscular dystrophy. Br J Anaesth 1982; 54: 1331 – 2. | en_US |
dc.identifier.citedreference | Henderson WA. Succinylcholine-induced cardiac arrest in unsuspected Duchene muscular dystrophy. Can Anaesth Soc J 1983; 31: 444 – 6. | en_US |
dc.identifier.citedreference | Sullivan M, Thompson WK, Hill GD. Succinylcholine-induced cardiac arrest in children with undiagnosed myopathy. Can J Anaesth 1994; 41: 497 – 501. | en_US |
dc.identifier.citedreference | Schneider V, Eyrich K, Stclzner J. Muscular dystrophy as a risk factor in anesthesia. Die Muskeldystrophie als Anasthesie-Ri-siko. Versicherungsmedizin 1992; 44: 133 – 7. | en_US |
dc.identifier.citedreference | Delphin E, Jackson D, Rothstein P. Use of succinylcholine during elective pediatric anesthesia should be reevaluated. Anesth Analg 1987; 66: 1190 – 2. | en_US |
dc.identifier.citedreference | O'Connor RL, Winstrock A. Further considerations on succinylcholine-induced cardiac arrest [letter]. Anesth Analg 1993; 76: 1167 – 8. | en_US |
dc.identifier.citedreference | Bourke D, Changes in serum Ca+ +, Na+ and potassium with administration of succinylcholine. Anesthesiology. 1979; 31: 89 – 90. | en_US |
dc.identifier.citedreference | Dronen SC, Merigian KS, Hedges JR, et al. A comparison of blind nasotracheal and succinylcholine-assisted intubation in the poisoned patient. Ann Emerg Med 1987; 16: 650 – 2. | en_US |
dc.identifier.citedreference | Antognini JF, Gronert GA. Succinylcholine causes profound hyperkalemia in hemorrhagic, acidotic rabbits. Anesth Analg 1993; 77: 585 – 8. | en_US |
dc.identifier.citedreference | Kopriva C, Ratliff J, Fletcher JR, et al. Serum potassium changes after succinylcholine in patients with acute massive muscle trauma. Anesthesiology 1971; 34: 246 – 9. | en_US |
dc.identifier.citedreference | Iwatsuki N, Kuroda N, Amaha K, et al. Succinylcholine induced hyperkalcmia in patients with ruptured cerehral aneurysm. Anesthesiology 1980; 53: 64 – 7. | en_US |
dc.owningcollname | Interdisciplinary and Peer-Reviewed |
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