Patient with hereditary butyrylcholinesterase deficiency
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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