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Related Experiment Videos

Succinylcholine and the open eye.

Elie Joseph Chidiac1, Alex Oleg Raiskin

  • 1Department of Anesthesiology, Wayne State University School of Medicine, Anesthesiology Education Office, Room 2901, 2-Hudson, 3990 John R., Detroit, MI 48201, USA. echidiac@med.wayne.edu

Ophthalmology Clinics of North America
|May 17, 2006
PubMed
Summary

Succinylcholine use in eye trauma is debated due to increased intraocular pressure. This review proposes an airway management algorithm for penetrating eye injuries, identifying when succinylcholine might be the safest muscle relaxant.

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Area of Science:

  • Ophthalmology
  • Anesthesiology
  • Emergency Medicine

Background:

  • Succinylcholine administration in patients with ocular trauma is controversial.
  • Its use can increase intraocular pressure, potentially worsening penetrating eye injuries.

Purpose of the Study:

  • To review the risks and benefits of succinylcholine for patients with ocular trauma.
  • To compare succinylcholine with alternative anesthetic techniques.
  • To propose an airway management algorithm for penetrating eye injuries.

Main Methods:

  • Literature review of succinylcholine use in ocular trauma.
  • Analysis of alternative muscle relaxants and regional anesthesia.
  • Development of a clinical algorithm for airway management.

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Main Results:

  • Succinylcholine's potential to increase intraocular pressure is a significant concern.
  • Regional anesthesia offers an alternative for specific cases.
  • An algorithm is proposed to guide the safest airway management approach.

Conclusions:

  • The decision to use succinylcholine in ocular trauma requires careful consideration of risks and benefits.
  • Alternative methods like regional anesthesia should be considered.
  • The proposed algorithm aids in selecting the safest muscle relaxant for airway management in penetrating eye injuries.