Pseudocholinesterase activity and atracurium v. suxamethonium block

Br J Anaesth. 1986:58 Suppl 1:91S-95S. doi: 10.1093/bja/58.suppl_1.91s.

Abstract

Serum pseudocholinesterase activity in pregnant women was assayed spectrophotometrically using either propionylthiocholine or suxamethonium as substrate. All patients had a normal phenotype as indicated by normal dibucaine and fluoride numbers. However, the mean cholinesterase activity was lower than in the general population. There was a negative correlation between cholinesterase activity and the duration of neuromuscular blockade following suxamethonium, but no correlation was observed between the cholinesterase activity and the duration of block following atracurium.

Publication types

  • Comparative Study

MeSH terms

  • Adult
  • Anesthesia, General
  • Anesthesia, Obstetrical
  • Atracurium
  • Butyrylcholinesterase / blood*
  • Cesarean Section
  • Cholinesterases / blood*
  • Female
  • Humans
  • Isoquinolines* / pharmacology
  • Neuromuscular Blocking Agents* / pharmacology
  • Neuromuscular Junction / physiology
  • Pregnancy
  • Succinylcholine* / pharmacology
  • Synaptic Transmission / drug effects

Substances

  • Isoquinolines
  • Neuromuscular Blocking Agents
  • Atracurium
  • Butyrylcholinesterase
  • Cholinesterases
  • Succinylcholine