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Atypical Cholinesterase and Prolonged Apnea During Electroconvulsive Therapy
Barry Alan Kramer1, Anoshiravan Afrasiabi
1Department of Psychiatry and the Behavioral Sciences, University of Southern California School of Medicine, Los Angeles, California, USA.
Abstract:
A 62-year-old man developed prolonged apnea during ECT with succinylcholine. He was found to have atypical cholinesterase. Subsequent ECTs were given using atracurium as the muscle relaxant. A review of the finding of atypical cholinesterase is presented along with a discussion of the use of atracurium.