Abstract
Three cases are reported where pre-existing medical conditions (severe osteoporosis, amyotrophic lateral sclerosis, cardiac arrhythmias) made the administration of succinylcholine during ECT potentially dangerous. Therefore, mivacurium was substituted as the muscle relaxant necessary for safe therapy. Full reversal of the non-depolarizing muscle relaxant was assured by post-reversal use of the peripheral nerve stimulator with full recovery of train-of-four response.
Résumé
Celte observation rapporte trois cas de conditions médicales préexistantes (ostéoporose grave, sclérose amyotrophique latérale, arythmies cardiaques) qui rendaient l’administration de succinylcholine pour l’ECT potentiellement dangereuse. Pour cette raison, la mivacurium a remplacé la succinylcholine comme myorelaxant pour la thérapie. La décurarisation complète a été contrôlée à l’aide d’un stimulateur nerveux pour assurer la reprise complète de la réponse au train de quatre.
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Janis, K., Hess, J., Fabian, J.A. et al. Substitution of mivacurium for succinylcholine for ECT in elderly patients. Can J Anaesth 42, 612–613 (1995). https://doi.org/10.1007/BF03011879
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DOI: https://doi.org/10.1007/BF03011879