Patient with hereditary butyrylcholinesterase deficiency

Authors

Keywords:

butyrylcholinesterase deficiency, prolonged neuromuscular blockade, prolonged apnea.

Abstract

Introduction: During the surgical anesthetic act, there are many complications that the anesthesiologist must face, some derived from surgery and others from anesthesia. Butyrylcholinesterase deficiency is a metabolic disorder that can prolong anesthetic recovery time, and is mandatory making the right decision to avoid putting in danger patient's life.
Objectives: To describe the evolution of a patient with a hereditary butyrylcholinesterase deficiency.
Clinical case: A 46-year-old female patient with a history of apparent health, operated electively by mean of minimally invasive surgery for gallstones, using general anesthesia. During the trans operative there were not complications; after operation was completed the patient shows no signs of recovery, actions were taken to revert the condition, but the expected response is not obtained. The situations lasted for 3 hours; a laboratory test was done searching for butyrylcholinesterase deficiency, which was positive.
Conclusions: It should be kept in mind that after the administration of succinylcholine a prolonged neuromuscular blockade can occur, even in apparently healthy patients.

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References

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Published

2023-03-01

How to Cite

1.
Hernadez Peraza LA, Guzmán Martínez JK, Abreu Brioso GL. Patient with hereditary butyrylcholinesterase deficiency. Rev Cubana Med Milit [Internet]. 2023 Mar. 1 [cited 2025 Jan. 8];52(2):e02302278. Available from: https://revmedmilitar.sld.cu/index.php/mil/article/view/2278

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Section

Case Presentation

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