Suxamethonium-induced hyperkalaemia in patients with severe intra-abdominal infections.

Abstract:

:In nine patients, undergoing repeat operations because of severe intra-abdominal infection developing after major abdominal surgery, serum potassium concentrations were monitored during induction of anaesthesia. Four patients showed an increase of serum potassium ranging from 2.5 to 3.1 mmol/litre above baseline values within 3-6 min after suxamethonium 100 mg i.v. In five patients there was no change. The four patients demonstrating an increase had suffered from pyrexia and leucocytosis for at least 2 weeks. The other five had signs of infection for no more than 9 days. It is concluded that patients with signs of severe intra-abdominal infection lasting longer than 1 week represent an additional category susceptible to suxamethonium-induced hyperkalaemia. They should receive only non-depolarizing muscle relaxants. When the use of suxamethonium is unavoidable, the injection of a non-depolarizing muscle relaxant before the administration of suxamethonium is recommended.

journal_name

Br J Anaesth

authors

Kohlschütter B,Baur H,Roth F

doi

10.1093/bja/48.6.557

subject

Has Abstract

pub_date

1976-06-01 00:00:00

pages

557-62

issue

6

eissn

0007-0912

issn

1471-6771

pii

S0007-0912(17)48661-2

journal_volume

48

pub_type

杂志文章
  • Impact of metabolic syndrome in surgical patients: should we bother?

    abstract::Clinicians inevitably encounter patients who meet the diagnostic criteria for the metabolic syndrome (MetS); these criteria include central obesity, hypertension, atherogenic dyslipidaemia, and hyperglycaemia. Regardless of the variations in its definition, MetS may be associated with adverse outcomes in patients unde...

    journal_title:British journal of anaesthesia

    pub_type: 杂志文章,评审

    doi:10.1093/bja/aev199

    authors: Tzimas P,Petrou A,Laou E,Milionis H,Mikhailidis DP,Papadopoulos G

    更新日期:2015-08-01 00:00:00

  • Technique training: endoscopic percutaneous tracheostomy.

    abstract::Percutaneous tracheostomy is being used increasingly in the intensive care unit and endoscopic control of this procedure affords an improved level of safety. Training in such new minimal access techniques can be a significant risk factor in patient outcome. Surgical simulation provides training which minimizes this ri...

    journal_title:British journal of anaesthesia

    pub_type: 杂志文章

    doi:10.1093/bja/81.3.401

    authors: Gardiner Q,White PS,Carson D,Shearer A,Frizelle F,Dunkley P

    更新日期:1998-09-01 00:00:00

  • Effect of the preoperative administration of water on gastric volume and pH.

    abstract::Since the preoperative administration of water might promote gastric emptying and dilute the remaining gastric contents, 50 patients were investigated before elective surgery. One group was given water 100 ml 2 h before operation; the other group was fasted as usual. Volume and pH of gastric contents were measured imm...

    journal_title:British journal of anaesthesia

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1093/bja/60.7.803

    authors: McGrady EM,Macdonald AG

    更新日期:1988-06-01 00:00:00

  • Midlatency auditory evoked potentials in children: effect of age and general anaesthesia.

    abstract:BACKGROUND:Midlatency auditory evoked potentials (MLAEP) are a promising tool for monitoring suppression of sensory processing during anaesthesia and might help to avoid awareness. MLAEP in children are different to those in adults and the exact changes during general anaesthesia are unknown. METHODS:In 49 children of...

    journal_title:British journal of anaesthesia

    pub_type: 杂志文章

    doi:10.1093/bja/aem267

    authors: Daunderer M,Feuerecker MS,Scheller B,Pape NB,Schwender D,Kuhnle GE

    更新日期:2007-12-01 00:00:00

  • Aged erythrocytes: a fine wine or sour grapes?

    abstract::Blood transfusion saves many lives but carries significant risk of injury. Currently, red blood cell (RBC) concentrates can be stored up to 42 days. Concerns have recently been raised about the safety and efficacy of transfusing stored RBCs. Refrigerated storage results in a 'storage lesion' that is reflected by metab...

    journal_title:British journal of anaesthesia

    pub_type: 杂志文章,评审

    doi:10.1093/bja/aet405

    authors: Cohen B,Matot I

    更新日期:2013-12-01 00:00:00

  • Obese parturients have lower epidural local anaesthetic requirements for analgesia in labour.

    abstract:BACKGROUND:There are no studies comparing local anaesthetic requirements for obese and normal parturients. Obesity has been associated with a higher incidence of Caesarean section and higher levels of epidural block have also been found in obese obstetric patients, suggesting they may require less local anaesthetic. Th...

    journal_title:British journal of anaesthesia

    pub_type: 杂志文章

    doi:10.1093/bja/aei284

    authors: Panni MK,Columb MO

    更新日期:2006-01-01 00:00:00

  • The Ageing Brain: Age-dependent changes in the electroencephalogram during propofol and sevoflurane general anaesthesia.

    abstract:BACKGROUND:Anaesthetic drugs act at sites within the brain that undergo profound changes during typical ageing. We postulated that anaesthesia-induced brain dynamics observed in the EEG change with age. METHODS:We analysed the EEG in 155 patients aged 18-90 yr who received propofol (n=60) or sevoflurane (n=95) as the ...

    journal_title:British journal of anaesthesia

    pub_type: 杂志文章

    doi:10.1093/bja/aev213

    authors: Purdon PL,Pavone KJ,Akeju O,Smith AC,Sampson AL,Lee J,Zhou DW,Solt K,Brown EN

    更新日期:2015-07-01 00:00:00

  • Etomidate for induction of anaesthesia at caesarean section: comparison with thiopentone.

    abstract::Thirty mothers undergoing elective Caesarean section received thiopentone 3.5 mg kg-1 and 30 received etomidate 0.3 mg kg-1 for induction of anaesthesia. Subsequent management of anaesthesia was identical in both groups. Maternal to fetal base excess differences and the degree of biochemical correlation between mother...

    journal_title:British journal of anaesthesia

    pub_type: 临床试验,杂志文章

    doi:10.1093/bja/51.2.135

    authors: Downing JW,Buley RJ,Brock-Utne JG,Houlton PC

    更新日期:1979-02-01 00:00:00

  • Relationship between Bispectral Index, electroencephalographic state entropy and effect-site EC50 for propofol at different clinical endpoints.

    abstract:BACKGROUND:State entropy (SE) is a newly available monitor for depth of anaesthesia. We investigated whether the relationship between predicted effect-site propofol concentration and Bispectral Index (BIS) and SE values is useful for predicting loss of verbal contact and loss of consciousness during steady-state condit...

    journal_title:British journal of anaesthesia

    pub_type: 杂志文章

    doi:10.1093/bja/aei075

    authors: Iannuzzi M,Iannuzzi E,Rossi F,Berrino L,Chiefari M

    更新日期:2005-04-01 00:00:00

  • Interference of volatile anaesthetics with infrared analysis of carbon dioxide and nitrous oxide tested in the Dräger Cicero EM using sevoflurane.

    abstract::In theory, setting an infrared multi-gas analyser to measure a volatile anaesthetic different from that in the sampled gas mixture may cause interference with carbon dioxide and nitrous oxide readings. The theory was investigated during evaluation of the Dräger Cicero EM anaesthetic workstation for the Medical Devices...

    journal_title:British journal of anaesthesia

    pub_type: 杂志文章

    doi:10.1093/bja/76.5.737

    authors: Wilkes AR,Mapleson WW

    更新日期:1996-05-01 00:00:00

  • In vitro interaction of propanidid and suxamethonium with pooled human plasma cholinesterase. A kinetic study.

    abstract::Human plasma cholinesterase (E.C. 3.1.1.8) was shown to be inhibited by physiological concentrations of propanidid and suxamethonium using a colourimetric assay at 25 degrees C and pH 7.2 unit with butyrylthiocholine as substrate. Propanidid inhibited the enzyme in a non-competitive manner (I50 = 2.0 mmol litre-1; app...

    journal_title:British journal of anaesthesia

    pub_type: 杂志文章

    doi:10.1093/bja/51.3.181

    authors: Taussig PE,Stojak HE,Bennett NR

    更新日期:1979-03-01 00:00:00

  • Anaesthesia for termination of pregnancy.

    abstract::This editorial looks at some of the various anesthesias used during pregnancy termination. Trichloroethylene, often a popular substitute for halothane, has been subjected to little evaluation. Only clinical study however, can actually establish the significance of myometrial depressant properties in the pregnant pat...

    journal_title:British journal of anaesthesia

    pub_type: 杂志文章

    doi:10.1093/bja/52.8.711

    authors: Grant IS

    更新日期:1980-08-01 00:00:00

  • Errors during the preparation of drug infusions: a randomized controlled trial.

    abstract:BACKGROUND:We investigated the extent and frequency of dose errors and treatment delays made as a consequence of preparing drug infusions at the bedside, rather than using pre-filled syringes. METHODS:Forty-eight nurses with critical care experience volunteered to take part in this randomized, blinded, controlled stud...

    journal_title:British journal of anaesthesia

    pub_type: 杂志文章,随机对照试验

    doi:10.1093/bja/aes257

    authors: Adapa RM,Mani V,Murray LJ,Degnan BA,Ercole A,Cadman B,Williams CE,Gupta AK,Wheeler DW

    更新日期:2012-11-01 00:00:00

  • Myocardial metabolism during anaesthesia with propofol--low dose fentanyl for coronary artery bypass surgery.

    abstract::We have studied the haemodynamic and myocardial effects of propofol-fentanyl anaesthesia in 12 patients undergoing coronary artery bypass surgery during the pre-bypass period. The induction dose of propofol was 1.5 mg kg-1 and mean infusion rate during maintenance was 4.48 mg kg-1 h-1 (range 1.87-7.24 mg kg-1 h-1). Th...

    journal_title:British journal of anaesthesia

    pub_type: 杂志文章

    doi:10.1093/bja/66.4.504

    authors: Vermeyen KM,De Hert SG,Erpels FA,Adriaensen HF

    更新日期:1991-04-01 00:00:00

  • Cytokines and the immunomodulatory function of the vagus nerve.

    abstract::Cytokine synthesis and release is an essential component of the innate immune system, but inappropriate, excessive production results in a generalized systemic inflammatory response which damages distant organs. Recent research has identified an immunomodulatory function of the vagus nerve whereby activation of the ef...

    journal_title:British journal of anaesthesia

    pub_type: 杂志文章,评审

    doi:10.1093/bja/aep037

    authors: Johnston GR,Webster NR

    更新日期:2009-04-01 00:00:00

  • Investigation of malignant hyperthermia in Denmark and Sweden.

    abstract::Units for the investigation of susceptibility to malignant hyperthermia (MH) were set up in Denmark in 1977 and in Sweden in 1981. Two hundred and ten patients from 76 families have been investigated. The diagnosis of MH susceptibility (MHS) was made by in vitro exposure of muscle from vastus medialis to halothane and...

    journal_title:British journal of anaesthesia

    pub_type: 杂志文章

    doi:10.1093/bja/56.11.1183

    authors: Ording H,Ranklev E,Fletcher R

    更新日期:1984-11-01 00:00:00

  • Comparison of the incidence and nature of cardiac arrhythmias occurring during isoflurane or halothane anaesthesia. Studies during dental surgery.

    abstract::Seventy-six Chinese patients aged between 15 and 30 yr, undergoing 3rd molar extraction, were randomly allocated to two groups. One group received halothane and the other isoflurane. The incidence of arrhythmia during surgery under anaesthesia with isoflurane was significantly less than with halothane. Sinus tachycard...

    journal_title:British journal of anaesthesia

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1093/bja/58.4.394

    authors: Rodrigo MR,Moles TM,Lee PK

    更新日期:1986-04-01 00:00:00

  • Use of a hand-held digital cognitive aid in simulated crises: the MAX randomized controlled trial.

    abstract:Background:Cognitive aids improve the technical performance of individuals and teams dealing with high-stakes crises. Hand-held electronic cognitive aids have rarely been investigated. A randomized controlled trial was conducted to investigate the effects of a smartphone application, named MAX (for Medical Assistance e...

    journal_title:British journal of anaesthesia

    pub_type: 杂志文章,随机对照试验

    doi:10.1093/bja/aex256

    authors: Lelaidier R,Balança B,Boet S,Faure A,Lilot M,Lecomte F,Lehot JJ,Rimmelé T,Cejka JC

    更新日期:2017-11-01 00:00:00

  • Recordings of, and an anatomical explanation for, false positive loss of resistance during lumbar extradural analgesia.

    abstract::Loss of resistance dorsal to the ligamentum flavum was recorded in 10 of 16 patients aged 43--75 yr whilst performing extradural anaesthesia at the L2--3 interspace via the midline approach. Degeneration of the interspinous ligament with cavity formation is observed frequently in the elderly and may account for false ...

    journal_title:British journal of anaesthesia

    pub_type: 杂志文章

    doi:10.1093/bja/51.3.253

    authors: Sharrock NE

    更新日期:1979-03-01 00:00:00

  • Comparison of high- and low-dose intrathecal morphine for spinal fusion in children.

    abstract:BACKGROUND:The purpose of this prospective study was to assess the blood-sparing effect, the quality of analgesia, and the incidence of side-effects of a low-dose regime of intrathecal opioids (ITO) when compared with those of a high-dose regime in scoliosis surgery in children. METHODS:Forty-six children were randoml...

    journal_title:British journal of anaesthesia

    pub_type: 杂志文章,随机对照试验

    doi:10.1093/bja/aen025

    authors: Eschertzhuber S,Hohlrieder M,Keller C,Oswald E,Kuehbacher G,Innerhofer P

    更新日期:2008-04-01 00:00:00

  • Effect of diazepam on pancuronium-induced neuromuscular blockade maintained by a feedback system.

    abstract::The possibility of an interaction between diazepam and pancuronium bromide was investigated in six patients undergoing general anaesthesia maintained with fentanyl, droperidol and nitrous oxide. Neuromuscular blockade was controlled using a feedback mechanism which automatically adjusted the rate of injection of pancu...

    journal_title:British journal of anaesthesia

    pub_type: 杂志文章

    doi:10.1093/bja/53.8.859

    authors: Asbury AJ,Henderson PD,Brown BH,Turner DJ,Linkens DA

    更新日期:1981-08-01 00:00:00

  • Rationalization of the selection of tracheal tubes.

    abstract::The problems of selection of tracheal tubes, and the need for a rationale, are outlined. Tracheal tubes of 7.5 mm and 8.5 mm i.d. are recommended for female and male patients, respectively. Tracheal size was determined using high pressure-low volume cuffs as measuring devices. The average diameter of the cuff at seal ...

    journal_title:British journal of anaesthesia

    pub_type: 杂志文章

    doi:10.1093/bja/58.1.111

    authors: Chandler M,Crawley BE

    更新日期:1986-01-01 00:00:00

  • Pharmacological preconditioning: comparison of desflurane, sevoflurane, isoflurane and halothane in rabbit myocardium.

    abstract:BACKGROUND:Recent investigations showed that isoflurane can induce pharmacological preconditioning. The present study aimed to compare the potency of four different halogenated anaesthetics to induce preconditioning. METHODS:Anaesthetized open-chest rabbits underwent 30 min of coronary artery occlusion followed by 3 h...

    journal_title:British journal of anaesthesia

    pub_type: 杂志文章

    doi:

    authors: Piriou V,Chiari P,Lhuillier F,Bastien O,Loufoua J,Raisky O,David JS,Ovize M,Lehot JJ

    更新日期:2002-09-01 00:00:00

  • Preliminary evaluation of a new prototype laryngeal mask in children.

    abstract::We have assessed a prototype laryngeal mask airway (pLMA) in 50 anaesthetized children for ease of insertion, oropharyngeal leak pressures, gastric insufflation and fibreoptic position. The pLMA has a second smaller mask, which rests against the upper oesophageal sphincter, and a second cuff to increase the seal press...

    journal_title:British journal of anaesthesia

    pub_type: 杂志文章

    doi:10.1093/bja/82.1.132

    authors: Lopez-Gil M,Brimacombe J,Brain AI

    更新日期:1999-01-01 00:00:00

  • A measure of consciousness and memory during isoflurane administration: the coherent frequency.

    abstract::The coherent frequency (CF) of the auditory evoked response (AER) is derived using auditory clicks presented at frequencies in the range 5-47 Hz. CF and psychological performance were measured while seven subjects breathed isoflurane in doses increasing from 0% to 0.2%, 0.4% and 0.8% end-tidal concentration and then d...

    journal_title:British journal of anaesthesia

    pub_type: 杂志文章

    doi:10.1093/bja/71.5.633

    authors: Munglani R,Andrade J,Sapsford DJ,Baddeley A,Jones JG

    更新日期:1993-11-01 00:00:00

  • Randomized comparison of three transducer orientation approaches for ultrasound guided internal jugular venous cannulation.

    abstract:BACKGROUND:Ultrasound-guided internal jugular venous access increases the rate of successful cannulation and reduces the incidence of complications, compared with the landmark technique. Three transducer orientation approaches have been proposed for this procedure: short-axis (SAX), long-axis (LAX) and oblique-axis (OA...

    journal_title:British journal of anaesthesia

    pub_type: 杂志文章,随机对照试验

    doi:10.1093/bja/aev399

    authors: Batllori M,Urra M,Uriarte E,Romero C,Pueyo J,López-Olaondo L,Cambra K,Ibáñez B

    更新日期:2016-03-01 00:00:00

  • Post-circumcision analgesia: comparison of topical analgesia with dorsal nerve block using the midline and lateral approaches.

    abstract::Forty-five patients undergoing circumcision were allocated randomly to one of three study groups to compare topical analgesia with dorsal nerve block using the midline or lateral approach. Pain scores, side effects and analgesic requirements were recorded after surgery. Patients who received topical analgesia required...

    journal_title:British journal of anaesthesia

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1093/bja/73.4.437

    authors: Chambers FA,Lee J,Smith J,Casey W

    更新日期:1994-10-01 00:00:00

  • Early ultrasonographic detection of low-volume intraneural injection.

    abstract:BACKGROUND:Intraneural injection of local anaesthetic agents carries a risk of neurological complications. Early detection of intraneural needle-tip position is very important in the initial phase of injection. Ultrasound (US) characteristics for real-time detection of intraneural injections have been described, but on...

    journal_title:British journal of anaesthesia

    pub_type: 杂志文章

    doi:10.1093/bja/aes208

    authors: Moayeri N,Krediet AC,Welleweerd JC,Bleys RL,Groen GJ

    更新日期:2012-09-01 00:00:00

  • Respiratory complications and hypoxic episodes during inhalation induction with isoflurane in children.

    abstract::We have studied the incidence of respiratory complications and hypoxic episodes during inhalation induction with isoflurane in 75 healthy unpremedicated children. Problems occurred less frequently when 4% isoflurane in oxygen was used from the outset than with traditional techniques using nitrous oxide and a gradually...

    journal_title:British journal of anaesthesia

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1093/bja/66.3.327

    authors: Warde D,Nagi H,Raftery S

    更新日期:1991-03-01 00:00:00

  • Feasibility of closed-loop titration of norepinephrine infusion in patients undergoing moderate- and high-risk surgery.

    abstract:BACKGROUND:Vasopressor agents are used to prevent intraoperative hypotension and ensure adequate perfusion. Vasopressors are usually administered as intermittent boluses or manually adjusted infusions, but this practice requires considerable time and attention. We have developed a closed-loop vasopressor (CLV) controll...

    journal_title:British journal of anaesthesia

    pub_type: 杂志文章

    doi:10.1016/j.bja.2019.04.064

    authors: Joosten A,Alexander B,Duranteau J,Taccone FS,Creteur J,Vincent JL,Cannesson M,Rinehart J

    更新日期:2019-10-01 00:00:00