A patient had prolonged apnea and paralysis after being given succinylcholine chloride. She was later found to have a deficiency of pseudocholinesterase. Results of repetitive nerve stimulation studies, done easily at the bedside, confirmed the diagnosis of neuromuscular blockade.
Cherington M, Lasater G. Prolonged Paralysis in Pseudocholinesterase Deficiency. Arch Neurol. 1973;28(4):274–275. doi:10.1001/archneur.1973.00490220082014
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