Published in:
01-01-2008 | Case Discussion
Suxamethonium in the intensive care unit: “Fool me once, shame on you; fool me twice, shame on me”
Authors:
Hannah Church, Sue Sinclair, Tessa Oelofse
Published in:
Intensive Care Medicine
|
Issue 1/2008
Login to get access
Excerpt
A 25-year-old woman with acute intermittent porphyria (AIP) was admitted to critical care with exacerbation of her porphyria, poor pain control and subsequent respiratory failure. Prior to this admission, a neurophysiological assessment had documented a predominantly axonal sensory motor neuropathy. Mechanical ventilation followed an unsuccessful attempt at non-invasive ventilation. Propofol (140 mg) and atracurium (40 mg) facilitated intubation with a size 7.0 cuffed tracheal tube, despite moderate tracheal stenosis. …