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A Typical Pseudocholinesterase

A Clinical Report

ERWIN LEAR, MD^*, CASSIM JADWAT, MD, LUCY BOUGH, MD, and PAZ FERNANDEZ, MD

*Clinical Associate Professor of Anesthesiology, Downstate Medical Center, New York, New York. Director of Anesthesiology, Mary Immaculate Hospital Division. Chairman, Department of Anesthesiology, Catholic Medical Center of Brooklyn and Queens, Inc, Jamaica, New York 11432. Attending Anesthesiologist, Mary Immaculate Hospital Division. Chairman, Department of Anesthesiology, Catholic Medical Center of Brooklyn and Queens, Inc, Jamaica, New York 11432. Erlanger Hospital, Chattanooga, Tennessee. Chairman, Department of Anesthesiology, Catholic Medical Center of Brooklyn and Queens, Inc, Jamaica, New York 11432.

Abstract

The safe conduct of anesthesia demands careful evaluation of the previous experience of patients under anesthesia and surgical operation, as well as that of their families. Untoward responses that may recur with subsequent anesthetic procedures should be documented and patients informed, as the need dictates. Two cases of prolonged apnea following single intubating doses of succinylcholine could not have been predicted by the patient's preanes-thetic history. As a result of these problems, the authors recommend mare careful preanes-thetic history-taking with reference to patients' prior anesthetic experiences.