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Published on: January 17, 2011
Succinylcholine for Emergency Airway Rescue in Class B Ambulatory Facilities: The Society for Ambulatory Anesthesia
Girish P Joshi1, Meena S Desai, Steven Gayer
1From the *Department of Anesthesiology and Pain Management, University of Texas Southwestern Medical School, Dallas, Texas; †Nova Anesthesia, Villanova, Pennsylvania; ‡Department of Anesthesiology, University of Miami, Miami, Florida; §Pediatric Dental Anesthesiology Associates, Tampa, Florida.
Abstract:
Procedures in class B ambulatory facilities are performed exclusively with oral or IV sedative-hypnotics and/or analgesics. These facilities typically do not stock dantrolene because no known triggers of malignant hyperthermia (ie, inhaled anesthetics and succinylcholine) are available. This article argues that, in the absence of succinylcholine, the morbidity and mortality from laryngospasm can be significant, indeed, higher than the unlikely scenario of succinylcholine-triggered malignant hyperthermia. The Society for Ambulatory Anesthesia (SAMBA) position statement for the use of succinylcholine for emergency airway management is presented.
