Serum myoglobin release following suxamethonium administration to children. 1988

A S Laurence
Department of Anaesthetics, Royal Preston Hospital, United Kingdom.

Serum myoglobin was measured in 40 children (mean age 5 yrs) following suxamethonium administration during anaesthesia for tonsillectomy. Half were given an i.v. induction while half were given an inhalation induction. Pre-treatment with alcuronium 0.04 mg kg-1 prior to suxamethonium administration was given to half the patients in each group. Mean pre-induction serum myoglobin was 11.8 micrograms litre-1. Following i.v. induction there was a marked rise of serum myoglobin in the control subgroup to a mean of 113 micrograms litre-1 20 min after suxamethonium administration. There was no such rise in the pre-treatment subgroup. In the inhalation control subgroup, there was a much larger mean rise to 537 micrograms litre-1 (significantly greater than in the control IV group), one patient reaching 2800 micrograms litre-1 20 min after suxamethonium administration. Pre-treatment greatly reduced but did not totally prevent the rise following inhalation induction.

UI MeSH Term Description Entries
D008297 Male Males
D009211 Myoglobin A conjugated protein which is the oxygen-transporting pigment of muscle. It is made up of one globin polypeptide chain and one heme group.
D002648 Child A person 6 to 12 years of age. An individual 2 to 5 years old is CHILD, PRESCHOOL. Children
D002675 Child, Preschool A child between the ages of 2 and 5. Children, Preschool,Preschool Child,Preschool Children
D005260 Female Females
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000443 Alcuronium A non-depolarizing skeletal muscle relaxant similar to TUBOCURARINE. It is used as an anesthesia adjuvant. Alcuronium Chloride,Allnortoxiferine,Diallylnortoxiferine,Alcuronium Dichloride,Alloferin,Dialferine,N,N'-Diallylnortoxiferinium Dichloride,Dichloride, Alcuronium,Dichloride, N,N'-Diallylnortoxiferinium
D013390 Succinylcholine A quaternary skeletal muscle relaxant usually used in the form of its bromide, chloride, or iodide. It is a depolarizing relaxant, acting in about 30 seconds and with a duration of effect averaging three to five minutes. Succinylcholine is used in surgical, anesthetic, and other procedures in which a brief period of muscle relaxation is called for. Succinyldicholine,Suxamethonium,Anectine,Celocurine,Dicholine Succinate,Ditilin,Listenon,Lysthenon,Myorelaxin,Quelicin,Succicuran,Succinylcholine Chloride,Succinylcholine Dibromide,Succinylcholine Dichloride,Succinylcholine Dichloride, Di-H2O,Succinylcholine Diiodide,Succinylcholine Diperchlorate,Succinylcholine Iodide,Suxamethonium Bromide,Suxamethonium Chloride,Bromide, Suxamethonium,Dibromide, Succinylcholine,Dichloride, Succinylcholine,Diiodide, Succinylcholine,Diperchlorate, Succinylcholine,Succinate, Dicholine,Succinylcholine Dichloride, Di H2O

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