Management of Accidental Succinylcholine Ingestion: Navigating Uncharted Waters.
depolarizing muscle relaxant
psychiatric patient
self-ingestion
standard operating protocols
succinylcholine
Journal
Cureus
ISSN: 2168-8184
Titre abrégé: Cureus
Pays: United States
ID NLM: 101596737
Informations de publication
Date de publication:
Feb 2022
Feb 2022
Historique:
accepted:
16
02
2022
entrez:
30
3
2022
pubmed:
31
3
2022
medline:
31
3
2022
Statut:
epublish
Résumé
Accidental oral ingestion of intravenous drugs is rare and under-reported, which may lead to serious morbidity and worsen the outcome for the patient. Though oral ingestion of sedatives and opioid drugs is reported, literature regarding the ingestion of muscle relaxants and subsequent management is limited. We report an interesting case of oral intake of 10 ml (500 mg) of injection Succinylcholine, a depolarizing muscle relaxant, by a psychiatric patient awaiting electroconvulsive therapy (ECT) in the pre-procedure room. We hereby report the subsequent sequence of events along with the suggested recommendations to be followed in the case of such an eventuality. To the best of our knowledge, this is the first case report of oral ingestion of a depolarizing neuromuscular blocking drug and its subsequent consequences.
Identifiants
pubmed: 35350533
doi: 10.7759/cureus.22312
pmc: PMC8933851
doi:
Types de publication
Case Reports
Langues
eng
Pagination
e22312Informations de copyright
Copyright © 2022, Jain et al.
Déclaration de conflit d'intérêts
The authors have declared that no competing interests exist.
Références
Acta Anaesthesiol Scand. 1994 Feb;38(2):94-103
pubmed: 8171959
Anesth Prog. 1990 Nov-Dec;37(6):296-300
pubmed: 2097911
Anaesthesist. 2018 Aug;67(8):568-583
pubmed: 29959498
Anesth Analg. 2006 Apr;102(4):1139-40
pubmed: 16551912
Australas Psychiatry. 2018 Aug;26(4):391-393
pubmed: 29504412
J Psychiatr Ment Health Nurs. 2014 May;21(4):354-64
pubmed: 24460906
J Pharm Pract. 2020 Feb;33(1):102-107
pubmed: 30157697
Saudi J Anaesth. 2020 Apr-Jun;14(2):238-240
pubmed: 32317884
J Perinat Educ. 2006 Summer;15(3):50-7
pubmed: 17541461
Rev Bras Anestesiol. 2017 Jul - Aug;67(4):411-414
pubmed: 27346213